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2011_0613_packet
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2/15/2012 1:34:43 PM
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12/22/2011 8:43:49 AM
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.......... . ..... <br />C V . <br />ity ot"Roseville <br />Finance vepartment, Li , cense vivision <br />2660 Civic LXnter Drive, Roseville, MN 55113 <br />(651) 792-7036 <br />(per machine) <br />The undiusigned, applicant, makes this, application pursuant to all the laws of the State of Minnesota aiid <br />regulation as the Council, of the City of Roseville may from time to time prescribe, including Minnesota <br />Statue # 1761.182. <br />Signaturx <br />Date So- 31 / --- / <br />A fim4asveclion is reaui red , before i,s,su,anice of a licen <br />n. <br />If completed I icense shoiuld be mailed somewhere other, than the business address, please advisl <br />
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