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2014_0609_CCpacket
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2014_0609_CCpacket
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7/8/2014 1:53:18 PM
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6/5/2014 1:38:57 PM
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�� <br />��� <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651) 792-7036 <br />Cigarette/Tobacco Products License Application <br />BusinessName VJL�,� �� �Q�`'1"� �Ji� l,L��J ���J ����`l" <br />Business Address ��iQ I�xU`�l�l,e (�Llt (�� � �042 U(�C�. G� � �S �� 3 <br />Business Phone 6�✓ �'�b �5 •� i5 ��� <br />Email Address <br />Person to Contact in Regard to Business License: <br />Name ��GIJ'VL_ � (�- �l��G� <br />Address ' �' �i <br />Phone ��b �"l�J �✓ ��� <br />� , C�_ <br />I hereby apply for the following license(s) far the term of one year, begimiing July 1, �� , and ending June <br />30, D( , in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Required Fee <br />Cigarette/Tobacco Products $200.00 <br />The undersigned applicant makes this application pursuant to all the laws of the State of Minnesota and regulation as <br />the Council of th� City of Ro eville may from time to time prescribe, including Minnesota Statue #176.182. <br />������ <br />Signatur� ve V . P . <br />Date 5,/ 1�3 � 1 4 <br />If completed license should be mailed somewhere other than the business address, please advise. <br />
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