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it <br />WAIM, <br />City of Roseville <br />Finance D <br />2660 Civic Center Drive, Roseville, MN 5511 <br />(651) 490-2212 <br />LOB MT-?j=h' A kin ITTMI :1111111111111''111 Revak, 11111,1111 <br />Business Name Walgreens ;2336 <br />Business Address 635 Rice Street <br />Roseville, MN 55113 <br />.......... <br />Business Phone 651-4 83-3673 <br />3 -36 ?3 <br />Person to Contact in Regard to Business License: <br />Name Belinda.Dancy Tax Manager <br />Address PO Box 901 <br />Phone 847 - 914 -5312 <br />Deerfield, IL 60015 <br />Y hereby a�V6 or the following license(s) for the tern of one year, beginning July 1, 2003 , and ending <br />.tune 30, , in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Required aeee <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 time prescribe, including Minnesota Statue # 176.182. <br />BtZ1� <br />Sign ature r <br />7 Date <br />If completed license should he mailed somewhere other than the business address, please advise* <br />For ogice use only: <br />- x..:,...� .., •s.� ,: y r� .� -tit_.. � .,.- <br />• ° � •::...'. ors -� ,� -��; .g} ,� �x��,�. <br />•Rer'� <br />.•� �•� 'row '� { tc'•� �? �w� .v .x <br />