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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 />Gas Pumps - private License Application <br />Business Name <br />Business Address <br />Business }'hone <br />Erna i 1 address <br />Person to Contact in Regard to Business License: <br />A. <br />Name . _ r <br />Address <br />Phone <br />�Qo Sevi <br />�1 <br />f— <br />r✓ s S//3 <br />I hereby ap for the following license(s) for the term of one year, beginning July 1 } w , and ending June <br />30, q—!, its the City of Roseville} County of Ramsey, State of Minnesota. <br />iceris Required e <br />Gas Pumps T Private S60.00 <br />The undersigned applicant mares 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 #176.182, <br />Signature <br />Date. 0 <br />A fire ins ectio i e ui ed be ire issuance of a license. Please call 651-792-7341. to set up an inspection. <br />/.",I T V 1 f <br />If completed license should he mailed somewhere other than the bUsiness address, please advise. <br />