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-A,rA <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(6 -51) 792 -7034 <br />Gasoline Station License Application <br />i <br />d. <br />Business N an7e �► �. rf ''� �''` �.� . <br />Business Address <br />Business Phone �- <br />Email Address A� 'Old? <br />Person to Contact in Regard to Business License: <br />Name <br />Address f <br />Phone <br />1 hereby apply for the Allowing llowing 1icense(s ) for the terra of one year, beginning July 1, � , and <br />ending June 30, U , in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Re ui red Fee <br />Gasoline Station $130.00 <br />The undersigned applicant nukes this application pursuant to all the laws of the State linneSoti and <br />regulation as the Council of the City of Roseville may from time t ime pre ribe, uding Minnesota Statue <br />9176.182. <br />Signature <br />Date <br />A fire inspection is required before issuance of a license. Please call 651- 792 - 7.341 to set up an <br />inspection. <br />If completed license should be mailed somewhere other than the business address, please advise. <br />