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if mio, . T <br />qH7E <br />City of os evi i l e <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651) 792 -7034 <br />Gasoline Station License Application <br />Business Maine 17 k--, rc) p 4 6 � [�, (e <br />Business Address - ieu (V- $VU <br />Business phone � � � L( <br />Email Address IV <br />Pet-son to Contact in Regard to Business Lr canse <br />Name <br />Address <br />Phone <br />I hereby apply for the following license(s) for the term of one year, beginning July 1, r0 x and <br />ending June 30, , 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 la;vs of the State of Minnesota and <br />regulation as the Council of the City of Roseville iiiay from time to time prescribe, including Minnesota statue <br />4 176,182. <br />Signature <br />Date <br />A fire inspection is required before issuance of a license. Please call 651- 792 -7341 to set up are <br />inspection, <br />If completed license should be mailed somewhere other than the business address, please advise. <br />