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City of Roseville <br />Finance vepartment, License Division <br />* a d" I I MN 55113 <br />26�60 Civic uenter Drive, Rosev'lle <br />792-7036 <br />P 01ON k rov...' I <br />Person to Co�ntact in Regard' to Business License.4 <br />Name <br />Address <br />Pbone <br />I h.ereby apply for the following license(s) for the term of one year,, beginning July 1, ZO 11 and ending <br />,June 301. 1'�-L in the City of Roseville, County of'Ramsey, State o�f'Minnesota. <br />License Reny wired Fee <br />Cigarette/Tobacco, Products $200.0�O <br />If completed 11Ce <br />1 <br />should be mailed somewhere other than the business address, please advjse. <br />