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A3 I b; I"J r i NHNt,,t <br />bb14 d` ;d x.162 <br />City of Roseville a <br />Finance Department, Lkense Division <br />X660 Civic Center Drive, Roseville, MN 55113 <br />(651) 490 -2Z12 <br />71 <br />usenare device License Application <br />Busums Name _Dandy Amusements Int'1, Inc. <br />Business Address 15455 San Fernando Mssion Blvd. <br />Suite 200 <br />Mission Hills, CA 91345 <br />Business Phone 8,58 6 .. 9 23 <br />Q 0 <br />Person to Contact in Regard to Business License: <br />Name Af ze 4gaej <br />Address .5, me- f4,,el 19 WC <br />Phe <br />I hereby apply for the following li es) for the term of one y r, �� ]�,}► 1, r �� ending ,T�e <br />30 _ , i n the. Qty of Rosevi r, Counter of ��ey,, State of Mimesota, <br />License RMu'red Fee ua • Total <br />Amusement Device $1 5.00 ti • 2 <br />The undersigned applicant makes this application pursuant to aft the laws Of the State of Mitmwata and regulation as <br />the Council of the City of Roseville may from time to time pr ' : including MiTulmota StOw # 176.I 82. <br />Sip <br />ature <br />Date ' <br />Vwmpleted license should be mailed somewbere otber than the budnew dd ;... <br />a <br />