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��aS���E <br />City of RoseI'lle <br />Finance Department, License Division <br />2660 Civic Venter Drive, Roseville, MIS 55113 <br />(651) 792 -7034 <br />Cigarette /Tobacco Products License Application <br />Business ]game viol `�re L' �S 4' �q 3� - — - <br />Business Address 2% 3 � k SVT'ec"� 1105eV 1. � � e• <br />Business Phone (o5l- WS-3:39-7 <br />Email Address <br />Person to Contact in Regard -to Business License: <br />Name <br />L' r , + <br />IL <br />, r <br />Phone <br />I hereby app,y for the following license(s) for the terns of one year, beginning July 1, } and ending June <br />30, 1 00�A , 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 of the State of Minnesota and regulation as <br />the Council of the City of Roseville may from time to -tire es r i iu i inn esota Statue #176.1-82. <br />Star SeWloh <br />ignatu <br />License Specialist <br />Date <br />if completed livens -e should be mailed somewhere other than the business address, .Tease advise. <br />