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City of Roseville <br />a G <br />Finance Department, License Division <br />Op <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651) 792-7036 <br />Amusement Device License Application <br />Business Name V'J <br />Business Address % -7 -7 -7 (,1, L-Avvisi K�Oou4 0,=� gz'� U i � te,, MAI 51t 3 <br />Busm'ess one <br />Email Address W y r W 1 &.0' 41 1 1 —1 %or—. SZ 46' 1 t <br />Person to Contact in Regard to Business License: <br />Name <br />Address <br />Phone <br />T-1 <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 <br />Statue # 176.182. /1 j <br />U . IL- <br />Date l• �: rz <br />A fire Inspection is reguiredDefore issuance of a license. Please call 651-792-7341 to set u12 a. <br />fits pection.6 <br />rf completed license should be mailed somewhere other than the busm'ess address, please advise. <br />