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5L <br />d <br />r A <br />11 <br />III <br />101 <br />9 <br />rmance Department, License Division <br />2660 Civic Center Drivellosevffle, MEN 5511,00 <br />(651) 792-70132 <br />1 4 A <br />I I in &W% 4 FS go <br />"Olousiness N'amc LILC.--, L)� QO"`&1kh c► �tk Ratvibow Fcccts <br />Business, Address 1201 LAR,PENTEUR, AVENUE <br />ROSEVILLE, MN 55113 <br />Busm"ess Phone <br />Person to, Contact, in Regard to Busil'nem License: <br />Name <br />Address, <br />Phone <br />I hereby apply for the following licensle(s) for the tem of one year, beg" ` nn January 1 , 2011 <br />iing and ending <br />Decetnber 31, 2011 In the City of Roseville, County of Ramsey, State of Minnesota. <br />License Reguireed Fee <br />Sale of'Consumer Fkeworks in, existing retail business $100.010, <br />Sale of Consumer Fireworks as. a sole busm"ess $350.0101 <br />Ai <br />PlIe unders' ned applicant makes this application, pursuant to all the law's of the State of Mimesota and regulation as <br />19 <br />tI- Council ofthei City of Roseville may, from time to time prescribe, I nnesota Stavae #624.20. <br />S 41 <br />9 nature Vp <br />1 <br />Date is I ao <br />If completed license should be mailed somewhere other than the busWess address, please: advise., <br />ti -all TWIM W It, I C41 t;v 111111 owl <br />0 Op <br />A <br />4F <br />5 <br />A <br />D) <br />Rnm Re MM M <br />WN N k 0 <br />