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Orr <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(G51) 490 -2212 <br />,Gasoline Station License Application <br />Business Name <br />Business Address <br />(A cx'eo <br />Business Phone ��j� �-3 <br />Person to Contact in Regard to Business License: <br />Name (f Q� <br />Address Kath FU81 0t1 SerViCe Co. <br />Phone Little Cerlade MN 55113 <br />I hereby ap ly for the following license(s) for the tern of one year, beginning July �, �, �d ending <br />Tune 30, �� in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Rea aired Fee <br />Gasoline Station $1 30.00 <br />The undersigned applicant makes this application pursuant to all the laws of the Mate of Minnesota and regulation <br />as the Council of the City of Roseville may from time to time prescribe inettt�ir� lain <br />nesota Statue # 176.182. <br />ignature wOO <br />4,_ - , � �`e � __ - <br />Date u3 <br />If completed license should he mailed somewhere other than the business address please ad <br />For qffic'euse Only: <br />