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<br /> <br />2660 Civic Center Roseville, 551 <br />(651) 490-2212 <br /> <br /> <br />Business <br /> <br /> <br />Application <br /> <br />Business Name <br /> <br />TP,,~()ro R(01-tn l~iMCtK~fi~ <br />~e-c~+ C&url),fJ Rood -(! <br />Ro~e v:: ,lie) Mt\J S5 /I,~ <br />Lo5J- 0L3~- f1C60 <br /> <br />Business Address <br /> <br />Business Phone <br /> <br />Person to Contact in Regard to Business License: <br /> <br />Name <br /> <br />-I2o u...~ LOebr::C'r <br />2'2 6"'6 UJPS+ ~D+j ~()Q.d Q,11<O<;~\I..lky}(AN 5S" <br />ioS-l- [,3 Co - I ~(PCo <br /> <br />Address <br /> <br />Phone <br /> <br />I hereby apply for the follmving licensees) for the term of one year, begilming July 1, J,06:;l , and ending June <br />30,;j.OO.3 , in the City of Roseville, County of Ramsey, State of MiImesota. <br /> <br />License(s) Required <br /> <br />Fee per Year <br /> <br />Quantity <br /> <br />Total <br /> <br />Amusement Device <br />Cigarette/T obacco Products <br />Game Room <br />Gas Pump - Private <br />Gasoline Station <br />3.2 Malt Liquor - On Sale <br />3.2 Malt Liquor - Off Sale <br />PoolJBilliards <br /> <br />$15.00 (per machine) <br />$100.00 <br />$175.00 <br />$60.00 <br />$130.00 <br />$100.00 <br />$30.00 <br />$70.00 (IS! table) <br />$20.00 (ea add'l table) <br />$70.00 (per screen) <br /> <br />I?JO~ <br /> <br />Theater <br /> <br />The under~igned ap~licant make~ tbis applicati~n pUTs~ant to all ~he l~ws o~,the S~ate of M~~~~fand regulation as <br />the CouncIl of the CIty of RosevIlle may from time to tIme prescnbe, JIl91u, 'I:ng .I\1nmesota SPJtUf?f176.182. <br />///.~ L- --.....d,-- <br />}-17- liT /(>\ <br />Signature /t I //{ ~/ '-" \ <br />. ~ . <br /> <br />Date <br /> <br />L( --- II -() 2- <br /> <br />If completed license should be mailed somewhere other than the business address, please advise. <br /> <br />