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UP:; VqE+F <br />ks, <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MIS 551.1 <br />(651.) 792 -7034 <br />Cigarette/Tobacco Products License Application <br />Business Nance 4 <br />Ile- /L)- <br />Business Address � � ? <br />.. <br />Business Phone - r <br />Email Address <br />Person to Contact in P „” ",-d to Business License: <br />Name <br />Address <br />Phone <br />I hereby apply for the following licenses) for the term of one year, beginning July 1, <br />2 +� � , and ending June <br />30,2o09 } in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Required Fee <br />Cigarette /Tobacco Products 5100-00 <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 time prescribe, i nclud i Min ota Statue # 176.18 2. <br />Signature <br />Date 23 <br />If completed license should he mailed somewhere other than the business address, please advise. <br />