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Business Name <br />Business Address <br />Business Phone <br />Email Address <br />�1�,� � , <br />....� _ <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651) 792-7036 <br />Amusement Device License Application <br />National Entertainment Network, LLC <br />Wal-Mart #3404 - 1960 Twin Lakes Parkway <br />303-444-2559 <br />Tax.Department(a�nen-inc.com <br />Pe��son to Contact in Regard to Business License: <br />Name <br />Address <br />Phone <br />Jennifer Hoon <br />325 Interlocken Pkwy B, Broomfield, CO 80021 (Mailing address) <br />303-444-2559 <br />I hereby apply far the follo�ving license(s) for the term of one year, beginning July 1, 2013 , and <br />ending June 30, 2014 , in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Required Fee uanti Total <br />Amusement Device <br />$15.00 <br />(per machine) <br />C� <br />•1 11 <br />The undersigned applicant makes this application pursuant to all the laws of the State of Minnesota and <br />re�ulation as the Council of the Ciry of Roseville may from time to time prescribe, includuig Minnesota <br />Statue #176. . <br />� <br />Sib ahire <br />Date � � �- <br />A fire Inspection is required before issuance of a license. Please ca11651-792-7341 to set up an <br />inspection. <br />If completed license should be mailed somewhere other than the business address, please advise. <br />