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Finance Department, License Division <br />0 <br />E660 Civic Center Drive, Roseville, MN 55113 <br />(651) 490.,2212 <br />i vT4FOA3!J ill EW! 10 <br />Business Name <br />Business Address )Pj JCJ <br />Business Phane <br />Person to Contact in Regard to Business License: <br />Name <br />Address <br />Phone <br />.,. rrwr ,,,,, war�r�����riririririririsn�im�t�ircmt�uuuuuuuuuuum�i�i�i�i�i�i�i�irrerrrrrrrrrri�i «rrrfi��rm M1��...rrrrrovry <br />Y hereby apply for the following license(s) for the tern of one year, beginning July 1, and ending <br />June 3 o, in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Required F =e Ouantity Total <br />Pool/Billiards $70.00 (first table) go <br />$20.00 (each additional table <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 />Signature <br />Date <br />If completed License should be malled somewhere other than the business address, please advise. <br />For ofjzce use only.- <br />■ � •_ �.4 '��. -S Y.--Vtis� e+- "4¢ >., [� -e y., ai`.°,�w� `�'1 -' <br />