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City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651) 792 -7034 <br />Gasoline Station License Application <br />Business ]Name <br />Business Address <br />Business Phone <br />Email Address <br />Person to Contact in Regard to Business License: <br />Name <br />A ddILL e S <br />Phone <br />I hereby apply for the following license(s) for the term of one year, beginning July 1, , and <br />ending June 30, } in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Re i cd Fee <br />Gasoline Station $130,00 <br />The undersigned applicant makes this application pursuant to all the laws of the State of Minnesota and <br />regulation as the Council of the City of Roseville may from time to time prescribe, includitl innesota Statue <br />#176.182. <br />P <br />Signature <br />Date <br />A fire inspection is required before issuance of a license. Please call 651 -792 -7341 to set up an <br />inspection, <br />If completed license should he mailed somewhere other than the business address, please advise. <br />