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raw 5 WO on <br />il <br />City of Roseville <br />Finance, Department, License Division <br />I* A 4P <br />-2,660 Civic Center Dri i ve, Roseville, NW55113 <br />(1651) 792-7036 <br />QD81 .0 1 <br />A Is <br />Vusiness Name <br />P <br />.Pip I <br />.. �#j <br />• usiffiess Address k", .1 ]1, <br />I d MORZ4 <br />A <br />Liken se Re�gul"re" Fee <br />Cigarette/Tobacco Products, $200.00 <br />The undersigned applicant makes th is application Pursuant to all the law's of the State of Minnesota and regulation <br />as the Council, of the City of"Roseville may from tuone tG time prescribe, including Min-nesota Statu,e #176.181 <br />Signature <br />Date <br />If completed license should be mailed somewhere other than the business address,, please advilse, <br />H Service Co. <br />Kathi Fuel 01 <br />3096 Mce Street <br />Ldfle Canada, MN 55113 <br />