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2012_0109_amended packet
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2012_0109_amended packet
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Attachment A <br /> City of Rosevffle <br /> Finwice Department, License Division <br /> 2660 Civic Center Drive, Rosevffle, MN 55113 <br /> (651) 792-7036 <br /> Gasoline Station Licensc Application <br /> r <br /> �.� <br /> us=ss Name <br /> Business Address _ C. <br /> Business Phone <br /> WIh <br /> Email Address <br /> Person to Contact in Regard to Business License: <br /> Name <br /> �a <br /> } <br /> Address _ F <br /> Phone <br /> I hereby apply for the falloin for the term of dear, J� 1, and <br /> ending Jug 30, 2:::5-in the qty of Roseville, County of Ramsey, State of ota. <br /> License Bemired Fee <br /> Gasoline Sta ion $130.00 <br /> Tlie undersigned applicant des the application pursuant to aH the laws of the Std of Adnnesota and <br /> regulation as the Council of the City of Roseville may from tinx to time prescribe,including Minnesota Statue <br /> ##176.182. <br /> Si <br /> DateWWWWWYyYauWYYYYY <br /> A fire inspmdon is re uired before issuance of a ucenm Please eau 651-792-7341 to set up an <br /> rim a ion. <br /> If completed license should be mailed somewhere ether than the business address,please advise. <br />
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