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City of Riosevi'lle <br />6 V <br />Finance ijepartment,,I Licenisle Div, iis , ion <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651) 792-7034 <br />G�as Pumps P rl* va teLilicen isle Applicatillor: <br />Business Name M i d la-�d P t 11 <br />Business Address <br />Business Phone <br />Email aididriess <br />Pers,on to Con ac in Regard to, Business License: <br />Name <br />Address ik"� — - - <br />P 11 <br />li�onle <br />91 <br />I herby apply for the, following license(s) for the term of one yii beginning July 1, Z008 and ending June <br />310, a in thile City of Roseville, County of Ramsey, Statie of Kinnesota,, <br />Li ease Required <br />0 0 0 1 <br />Flele <br />S601.10:0 <br />The undersigned appili'llicant makes this application pursuant to all the laws, of the State of Nfin, ne,islota, and regulation as <br />the Council of the City lelf Roseville may from time to time prescribe, incluldingMinniesota Statue # "1716. 1, '82. <br />Signature <br />o /0',� 2 <br />Date <br />A fire in-spectiolon is requireid before 'issuance of a license, Pleas�e call 165"1-7192-73141 tio s�et urp, an inspleictionq <br />