Laserfiche WebLink
Ask <br />City of Roseville <br />Fignance Department, U 0, cieuse Divisilon <br />2660 Civic Center Drive,, Roseville, MN X5113 <br />51 792-70314 <br />Cigarette/Tobacco Products License Appliciation <br />0201 WIV w- 2010M." losiliilil <br />Business, Address. 27815 N H*LDE AVE FCSR=, MN 55113-17515 <br />Business Phione 61511--631-1241 <br />Email Address <br />Person to, C01711tWit in Regard to Business License.- <br />Name <br />Phone <br />I h,eriebly apply for t folliowing license(s) for the term of one year, beginning,,July 1, 2fM_, and endingAine <br />30, — M , in the City of Roseville, County of Ramsey, State of Minnesota. <br />License, Require'd. Fle e <br />Mr,arette/Tobacco Products $1,00.010 <br />"The undiersi,91nied applicant retake s this application pursuant to all the laws of the State of'Minniesiota and regulation as <br />0 1 <br />the 'Council of the City of Roseville may frorn time to time � riescribe, including Minnesota Statuie #1761.182. <br />p <br />Signature LICENSE COORDINATOR <br />Date <br />If complietied liciense should be mailed somewhere other than, the busiiiiess address, p1leasie advisle. <br />SPEEDWAY SUPER AMERICA LLO <br />PIOI., BOX, 1580 <br />SPRINGFIELD'$ GH 45501 <br />