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City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651) 792-7036 <br />1 117111 <br />a <br />Business Namie A sw <br />FoOMMT-TWo ro <br />A <br />. fflWjM&Wq.&�= <br />Business Phone -4. <br />Em,ail, Address . "I W, W, W, W, W, N "11"I "I NOWNTIM ....................................................................... <br />Plersion, to Cointact in Regard to Buisiness Licenser, <br />1Z <br />Address <br />.... ............... S, <br />I hereby apply for the foll,owi,ng lic,ensie(s) for the term, of one year, b eginning July 1, 0 /-/,, and <br />('per machiine) <br />The undersigned applicant makes thisi application pursuant to all the laws of the State of Minnesota and <br />0 <br />regulation as the Counicil of the City of Roseville may from time to time prescribe, 'including Minnesota- <br />Mi <br />in,sipection. <br />If completed, license should be mailed somewhere other than the business address, please advise. <br />