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ins i n ess Name <br />Bus' ness Address ` <br />Vr�. <br />KAaW I <br />_Yjj <br />r <br />Business Phone <br />Person to Contact Regard to <br />Tame <br />Address <br />Phone �. <br />hereby ap ly for the following license(s) for the term of 1 <br />.ne 30, MU!, 'ry e i - year, beginnin July I, AM3 Roseville, <br />County of Ramsey, State of Minnesota, and en�In� kMM&ftK!W <br />fee <br />Gasoline Station <br />The undersigned aiapIicant m - - . <br />as to u es this application pursuant t � ail <br />Council of the City of Roseville a Iav�rs f the tat f Minnesota <br />rx�ay fpm time t� tia�n� p���ri� and regulation using t es0ta Statue #176.182. <br />Signature <br />Date <br />If eOrnpleted license should <br />be mailed somewhere other than the business address �e • <br />p ase advise, <br />For o)Tice use onj <br />�G � <br />s <br />Mn2444 I' <br />x g <br />F� {�•.,Yfls'r'sv� .+�.c i��str` a°'Ss a '5�R {QCs iu, <br />- <br />�ni" <br />S <br />{ <br />F <br />P <br />S <br />f <br />It <br />It <br />