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2003_0512_packet
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2003_0512_packet
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10/21/2011 2:18:48 PM
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w.,,igarette/Tobacco Products License Application <br />Business Name <br />Business Address <br />'feO� <br />Alo r/ 1. <br />W-A <br />Business Phone - <br />Person to Contact in Regard to Business License: <br />Name <br />I ' / <br />q Aries . <br />J- <br />e /✓!fi J <br />Address /J / ���• <br />Phone v1 /s - <br />93L V------------- „JJYy9J�, ,,,,JJJJJJ,JJY�i`9flL, J;"""""”" ��91yY% Y% Y% YJ/ �Illllll�fliJ J;,,,,,,,,,,,; 1" 1"5?��P",m^",,,,,NIWNIINNINNIII „' J&J�---- 1!I!MIIII�IINNI�Y�W888k <br />I hereby ap ly for the following license(s) for the term of one year, beginning July 1, � , and ending <br />June 30, in the City of Roseville, County of Ramsey, State of Minnesota. <br />License lie uired Fee <br />Cigarettetrobacco 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 cludi g. innesota Statue #176.182. <br />Signature <br />Date <br />If completed license sbould be mailed somewhere other than the sines address, essi advise, <br />For qJ51ce r only: <br />
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