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49 <br />City of Roseville <br />Finance Depart ent,'License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651) 792 -7034 <br />co rette /Tobacco Products License Application <br />..... .. ....... . ...... . ... ... <br />Business Name IV65 <br />Business Address <br />Business phone <br />Email Address <br />Person to Contact in Regard to Business License <br />Name <br />Address L�r f AlIff - --: <br />Phone <br />i hereby apply for the following license(s) for the term of one year, beginning July 1, 009 , and ending gone <br />30} 0 , in. the City of Roseville, Counter of Ramsey, State of Minnesota. <br />License Required Fee <br />Cigarette/Tobacco products $100.00 <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, including' Minnesota Statue 91 76.182. <br />Signature <br />Date !75 /,�2 e3 LO <br />If completed license should be mailed somewhere other than the business address, please advise, <br />