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`� 1 WONINOM <br />City of Roseville <br />Finance Department, License Division <br />660 Civic Center Drive, Roseviffle, MN T 11 <br />(651) 792 :7-034 <br />Amusement Device License Application <br />M.T. Restaurants (Roseville) , Inc <br />Business Name d /b /a Joe Senser }s Sports Grill and Bar <br />Business Address 2350 Cleveland Avenue, Roseville, MN 55113 <br />Business Phone 651-631-1781 <br />Email Address <br />Person to Contact in Regard to Business License: <br />Name <br />Address <br />Phone <br />I hereby apply for the following license(s) for the terra of one year, beginning July 1, 2008 , and <br />ending ,dune 30, 0 0 , in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Rg u tred Fee Quantity Total <br />Amusement Device $15.00 9 $135-00 <br />(per macWne) <br />The undersigned applicant makes this application pursuant to all the lags of the Mate of Minnesota and <br />regulation as the Council of the Ot7y of Roseville may from time to time prescribe, including Minnesota Statue <br />9176.182. .�.�.. <br />M. T. Otaurants (R eville) , Inc. <br />Signature Pe-r// '1 <br />Y. <br />Date A p i <br />A lire Inspection is required before issuance of a. license. Please call 651.- 792 -7341 to set up an <br />inspection. <br />If completed license should be mailed somewhere other than the business address, please advise. <br />