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U wit"ISA <br />A <br />I WS"A 0 §n <br />City of Roseville <br />Finance Department, License vivision <br />4 6 AO-4 <br />E660 Civic uenter Drw*e, Roseville, AlN 55113 <br />(651) 792-7036 <br />Cigarette/Tobacco Products License Application <br />III <br />PPOA <br />IMKWA&115� <br />191111 - MW <br />Business Phone <br />Email Address <br />Persi6n to, Ciontact ih Regard to Busihess Lic'iense: <br />Phone <br />I hereby, Apply for the foillowing license(s) for the term of one year, beginning July 1, r1w 49 and ending <br />4700 <br />June 30, zi in the City of 'Roseville, County, of Ramsey, State of Minnesota., <br />L <br />icense Re ired, Flee <br />Ct'garette/T obi uic,ts, $200.04� <br />0 <br />If completed license should be mail ed som,ewh�ere other than the business address, please advise, <br />