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tlljri <br />1r% r% �rl// liiiiii %(� %,G4frY� /d / % % / / / /HAt�" <br />p! <br />a a 10 <br />Finance Department, <br />!6:660 Civic Center Drive, Roseville, MN 55113 <br />(651) 490.,2212 <br />Cigarette/Tobacco <br />Business Name U= I L Ul � "f <br />Business Address a� � 5411 <br />Business Phone � "+ � 63 <br />Person to Contact in Regard to Business License: <br />Name �CU <br />nm i�uiqi Lm bervice uo. <br />Address 3M Pica Street <br />Phone (6s-i) q g 9 33 C%)5 Liffle Canada, MN 55113 <br />I hereby a ly for the following license(s) for the term of one year, beginning July 1, and ending <br />June 0 � � <br />, in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Reg uired Fee <br />Cigarette/Tobacco Products $100.00 <br />The undersigned applicant males this application pursuant to all the tags of the State of Minnesota and regulation <br />as the Council of the City of Roseville may from time to time prescribe, including Minnesota Statue # 176.182. <br />Signature jjjjj�! k-r� <br />Date q4.. � <br />If completed ficense <br />ould be mailed somewhere other than the busing address, please advise. <br />