Laserfiche WebLink
City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651) 792 -7034 <br />Cigarette /Tobacco Products License Application <br />Business Name een # lap4 <br />Business Address 113 or -W� �-- ex{na- 1nn.XrP,nu2 l <br />Business Phone (.o 51 • y8g- 5510 <br />Email Address <br />Pef'son to Contact in Regard to Business License., <br />Name <br />Address <br />Phone <br />1 hereby apply for the following license(s) for the terin of one year, beginning July 1, 2 005 -, and ending June <br />30, c) in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Required Fee <br />igare-tte /Tohaeeo Products $1 00.00 <br />The undersigned applicant makes this application pursuant to all the laws of the State of Minnesota and regulation as <br />the Coun6l. of the City of Roseville may from time to time p ibe inclu in Minngsota Statue 9176.182, <br />Starr SaktAlch <br />Llcentre Specialist <br />Signature 847/315 -4313 <br />Date 2oo <br />If completed license should be mailed somewhere other than the business address, please advise. <br />