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ILI <br />M� <br />Rowe e <br />City of 111 <br />.7 'i <br />Finance Department', License Diviisil"lgun. <br />21660 Civic Center Drive,,, Rose v 1'11'e MN 55113 <br />(651) 792-70314 <br />igarlette/Tobacco Products L cense Application <br />all Ra RAW me <br />Business Address 23M, W CaNlY RD D ROSEVELE, NN1551112-7584 <br />XiusinieSs Phone, 6151-6133r-3W <br />Email Address IN 1. - <br />Pici-sion to Clonlitact" iin Rlegatd to Business License: <br />Nam <br />Addriess <br />Phione <br />I herebly apply for the following license(s) for the term of one year, bleginning July 1,, _M land endinia Yune <br />3 , 2W91 in the City of Roseville, County of Ramsey, State of Minnesota,. <br />License R,equired Fee <br />Cigarette/Tobacco Prod uas S 100.010 <br />The undiersignield a P I phiciant makes this application pursuant tio all the laws of the State of'Minnesotia and regulatillon as <br />the Counici] of t' e C� t I ime pries 1 5 including Minnesota Statue #176.182. <br />ih i y of'Rosevffle may from time to t* cr be I <br />hj, LICENSE COORDINATOR <br />Signature e& <br />Date <br />i <br />,If ciompleted licensie should be mailed somewhere other thian, thie businiciss ad&ress, Pleasie aldvisle. <br />SPEEG)VAYSUPER NVIEKCA LLG <br />IP.O, BOX 15180 <br />SPRINCYIELD, �DH 45501 <br />