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�, <br />City of Roseville <br />41 do <br />Finance I <br />2660 Ovic Center Drive, Roseville, ATK 55113 <br />(651) 490-2212 <br />Cigarette/Tobacco Products License Application <br />.Y <br />Business Name ��� C:� LC M <br />Business Address 1 7 3 Lk �- <br />�im �►l � x,113 <br />Business Phone '(65)) ^LASIP.- tA O Z v <br />Person to Contact in Regard to Business License: <br />Name <br />Address Cf- Y-e- VI'le too,/ Zt)5 512,6 <br />6 91 -V <br />Phone (6 <br />I hereby aprily for the following license(s) for the terra of one year, beginning July 1, 2ex 3 , and ending <br />June 3 0} in the City of Roseville, County of Ramsey, State of Minnesota, <br />--KIM- ff Z-q- <br />License Required F =e <br />Cigarette/Tobacco Products $100.00 <br />The undersigned applicant makes this application pursuant to all the laws of the State of Minnesotan and regulation <br />as the Council of the City of Roseville may from time to time prescribe, including Minnesota Statue #176.182. <br />i <br />Date Q --1- 12. ---C) .3 111111111111111111111110N, <br />If completed license should he mailed somewhere other than the business address, please advise. <br />For q Icieuse. an, <br />