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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 A �� �Cn I, +D h i 9-n r O L 4!:.- <br />Business Address <br />Business phone K"-� <br />- <br />Email Address <br />311 <br />Person to Contact in Regard to Business License: <br />All; �ld <br />Name <br />Address <br />phone <br />osev/flf, 07 A, 5S'/ 2, <br />I hereby apply for the following license(s) for the term of one year, beginning July 1 o } and <br />ending .Tune 30, 20,a , in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Required 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, including Minnesota Statue <br />41 76.181 <br />Signature <br />Date <br />A fire inspection is reaulred before issuance of a license. Please call 651 - 792 -7341 to set un an <br />inspection. <br />If completed license should be mailed somewhere other than the business address, please advise. <br />