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City of Roseville <br />Finance Department, on <br />2660 Civic Center Drive, Roseville, AIN 55113 <br />(651) 490-2212 <br />Business Name N E± C-0 OV L li�_f5p <br />Business Address <br />Business Phone` I -LAIR rk- U g Q i <br />Person to Contact in Regard to Business License: <br />Name,.._ - . r-s s .... _ - .. ._.. <br />in <br />Address <br />r ; <br />Phone ti's '711—t.,179- <br />1 hereby apply for the following license(s) for the terra of one year, 'beginning July 1, 200.3, and ending June 30, <br />201G q in the City of Roseville, County of Ramsey, State of Minnesota. <br />Incense Rewuired Fee <br />Cigarette/Tobacco Products $100.00 <br />The undersigned applicant makes this application pursuant to all the laws of the State of Minnesota and regulation <br />as the Council of the City of Roseville may from time to ti.rne prescribe, including Minnesota Statue #176.182. <br />Date c�/ r � / �,� <br />If completed license should be mailed somewhere other than the rosiness address, please advise' <br />For „ usle *: <br />