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ji <br />ity of Roseville <br />Finance, Department, License Division <br />2660 Givic Center Drive, Roseville, MN 551.13 <br />(651) 7;92-7:036 <br />C 9 <br />igarette/Toba:cco Products License Application <br />Business Name <br />Forrigm- <br />Emai'l Address <br />�i..l �n. S f , /firrsr: �/.L <br />tl - � 3/— o5iya <br />%ivary Pm.�Io�f{�ils CAI <br />Persoin to Contact in Rlegard'to Business License: <br />Name <br />Address <br />P'hoine <br />I hereby apply for the following, license(s) for the term of one year, begin ping July 1, .2 6 1 / , and ending <br />June 3 0, 2 p /1 'L, in the City of Roseville, County of Ramsey, State of Minnesota, <br />L al <br />itens e Reouired Fee <br />^0 <br />,igiarette/Tobacco Products $200.00 <br />If completed license should be mailed somewhere other than the busWess address, please advise. <br />