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'r-�7 <br />ii <br />J <br />City of Roseville <br />Finance Department, License <br />k 660 Civic Center Roseville, <br />(651) 490-2212 <br />Amusement Device License Application <br />Business Name Har Mar Mall <br />Business Address loo North Snelling Avenue <br />.............. WINININ] <br />Roseville MN 55113 <br />Business Phone (651) 6 3 1- 9 5 <br />Person to Contact in Regard to Business License: <br />Name Theisen Vending Company (Denise Matr i ous ) <br />Address 3800 Ni co11 et Avenue South Minneapolis MN 55409 <br />Phone <br />(612) 827-558$ <br />r _ <br />1 hereby ap .l for the following lioense(s) for the term of one year} beginning. July 1, 2003 � and ending <br />June 30, _ 01 , in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Ike uired Fe fity Total <br />Amusement Device 41 $15.00 _ F n u r tm - n <br />(per machine) <br />The undersigned applicant males this application Pursuant to all the laws of the State of Minnesota and regulation <br />as the Council of the City of Roseville may from time to time prescribe, including Minnesota Statue #176.182. <br />Date May .2. 2003 ..1� <br />If completed license should be mailed somewhere other than the business address, please advise* <br />For office use only <br />f i ! Yly�Yr }w/ C f yipp� <br />,x• �h- �..,•Zg .Y.�:. . +1 �•i!•_ yr_�t -.ti ''ii e`�.� "- r.h.�4.'^�,5 <br />• • ' ,i 1 ;E `Z} 'R �.i�$ •. �' •1 4F -y cr S y F� 7, • ". <br />F,1-vLl•"•,::t � 4•!Y �" nLio" "•`fit $C i~ � � f - �.��5]Z �� i4Y1 • ..-� Y. <br />_ r]TY''. {. K � +r �•f. - •cr• : 5;! ., �. -� r �" Y': �y $1`�i�lt Y•� 4 <br />] ' rr# 1 ;��L '{'� 1�•�'Sfl� -J. },�p.�� 4�. iy rt °`•4'Yr'{ �_'.T�y +�W V ^= <br />1y��.�] �f f- - f• � �ad. .yie F• 6 <br />