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City of Roseyffle <br />1 Finance Deparhnexit, License Division <br />2660 Qvic Center brine, Roseville, Nei 55113 <br />(651) 490w2212 <br />Offw-S a,le 3 .2: Malt Liquor L kens e Ai) Vol a I <br />- A. Plicaftoll, <br />............ <br />OR,= <br />I <br />i 10M a <br />Person to Contact, -1 Regard to B ushilexr Licenge,- <br />in <br />Name <br />I i <br />/ /��j� �i r r � '� rlf� �V�� r Uw�r <br />/ /, / / //, ,ri /fi. Vii,. ,/ r,/ �j � <,, , !r �, :, �w.! /,i /, ! // <br />Il„ /f/ fj / Dy , / / / /,! <br />����> //� <br />Drivers Licensle N Umbei <br />social, Security <br />34lumber <br />U.S. klIlloulzon't %--, No <br />Naturalized? <br />and place,: <br />hicirleby apply for the foj1owing <br />December 3 1;r ZQQ3 11, iceilse(s), for th. term Of One Yw� begim�jg January 1, 2063 <br />the, City, of 1�03evflle)l COMItY of Ra,msey, State of Mimesota, Emd ending <br />Uce, <br />4 <br />egu ired <br />A <br />Off-Sale,12 Malt Liquor Beverage $30.00 <br />. . . . . . . . . . . . . . . . . . . . <br />a <br />NIT <br />