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City of Roseville <br />Finance Department, License Division <br />2660 Civic tenter Drive, Roseville, MN 55113 <br />(651) 792-7034 <br />Pool /Billiards :license Application <br />Business Name <br />Business Address <br />4 <br />Business Phor.V �- <br />Emai[ Address <br />Person to Contact to Regard to Business License., <br />Name <br />Address <br />PhGne -- - - <br />t hereby apply for the following ing l ieense(s) for the term o f orie Fear, beginning July 1, .� f .end ending June: <br />3 O a in the City of Roseville, County of Ramsey, State of Minnesota. r <br />License Required Fee Quantity Total <br />Pool/Billiards $70.00 (first table) 4 <br />$20.00 (each additional table) <br />The undersigned applicant makes this application pursuan -t 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 9176,182. <br />1 <br />Signature <br />Date <br />A fire i.nsQLCtYon is r uii -ed before issuance of a license. Please call 651 -792. -7341, to set up an inspection. <br />If completed license should be mailed somewhere other than the business address, please advise. <br />