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Tq -j-hE <br />1; 4�SiH <br />City of Ro ev-1" lle <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, ille, MN 55113 <br />(651) 792 -7036 <br />Gasoline Station License Application <br />Business Dame <br />Business Address <br />Business Phone -� <br />OF <br />Email Address <br />Person to Contact in Regard to Business License: <br />Name <br />Address <br />Phone <br />1. hereby apply for the following license for the term of one }rear, beginning July 1, oleo , and <br />ending Juno 30, 9010 , in the City of Roseville, ille, 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 Mate of Minnesota and <br />regulation as the Council of. the City of Roseville may from time to time prescribe, including Minnesota Statue <br />#176.182. <br />ze <br />Signature <br />�0".O. <br />Gel <br />,Date <br />A fire inspection is required before issuance of a license. Please call 651-792-7341 to set uD an <br />If completed license should be nailed somewhere other than the business address, please advise, <br />