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Attachment A <br />City of Roseville <br />ille <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 5511.3 <br />(651) 792 -7036 <br />Gasoline Station License Applicat ion. <br />---------- <br />Business Name 4 <br />Business Address vj : � t �� <br />Business Phone <br />Email Address <br />Person to Contact in gar to Business License: <br />Larne ire S' Vfr, ar pie <br />Address <br />Phone <br />I hereby apply for the following license(s) for the term of one year, beginning .duly 1, 4"266 ' , 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 laws of the State of Minnesota and <br />regulation as the council of the City of Roseville may from time to time prescribe, including Minnesota -t .t6 <br />#176.182. <br />Signature". <br />Date <br />A fire inspection is req. ired -before issuance of a license. Please call 651 - 792 -7341. , to set up an <br />In pp.c.tiori. <br />If completed license should be mailed somewhere other than the business address, please advise. <br />