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Finance Department, License T <br />2660 Civic Center Drive, Roseville, MN 5511 <br />(651) 490-2212 1 <br />Amusement Device License AiDplication <br />Business Name Comfort Inn <br />Business Address 2 715 Long Lake Road <br />Roseville JAN 55113 <br />Business Phone (6511-636-5800 <br />Person to Contact in Regard to Business License; <br />Name Theisen Vending C ompany (Denise Matri ou s ) <br />Address 3800 Nicoliet Avenue South, Minneapoli's MW 55409 <br />Phone (612) 827 -5588 <br />I hereby a A el for the following license(s) for the terra of one year} beginning July 1, 2003 t and ending <br />June 30, -, , in the City of Roseville, le, County of Ramsey, State of Minnesota. <br />License Required Fee Ous rtx Total <br />Amusement Device $15.00 Two OL -in -oo <br />(per machine) <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 # 1 76.182. <br />8 i gnature <br />Date May 2. 2003 <br />u <br />If completed license should he mailed somewhere other than the business address, please advise. <br />For office use only <br />� is�� -c.. $}wtsa,.yn.<� `*•` - •'f' - �JP�S'�rL <br />i •fir' •1 .9 `. _; �: f.� <br />- � �: y _ � -yy }fie n •.,yr- y f � { <br />