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900 N. <br />V I <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive,, Roseville, N 55113 <br />(651) 792 -7034 <br />Cigarette/Tobacco Products License Application <br />Business Name 1�Ict� eens� zoo2 <br />e „s,ne==Addre=s Ili V�esk Coon+\, ODA V t I le.-O <br />Business Phone (oS�' <br />Email Address <br />Person to Contact in Regord to Business License: <br />Name <br />Address <br />Phone <br />I hereby apply for the following license(s) for the terry of one year, beginning July 1,200 � , and ending June <br />30, , in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Required Fee <br />Cigarette/Tobacco Products $100.00 <br />The undersigned applicant makes this application pursuant to all the laws f the State of l innesota and regulation as <br />the Council of the City of Roseville may from time to time pniker ' - - , = el di i sota Statue # 1 76.1$2. <br />Starr SiaktAloh <br />Signature License specialist <br />Date 30, <br />If completed license .should be -mailed .somewhere other than the business address, Please advise, <br />