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Eimail Address, <br />J" <br />Person to Contact in Regard to Business L,icens�e: <br />A <br />Name <br />ya <br />Address <br />Phone, ';-/ -'-- � 11,1w-3 I <br />I hereby apply fo�r the followi'ng license(s), for the term of'one year, beginning July 1, ola and ending <br />June 30, 41 <br />, in the City of Roseville, County of Ramsey, State of Minnesota. <br />Lint Houired Fee <br />cigarettell/Tobaccol Products $2010.00 <br />If completed license should be mailed somewhere other, than the business address, please advise. <br />