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� �',�- <br />��� <br />'��'".,,,�w�.• � .�J �.� <br />� <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651) 792-7032 <br />Sale of Consumer Fireworks License Application <br />Business Name <br />Business Address <br />Business Phone <br />�('�� t��.�. �- �;v+��'���:��� c1��� %c��r�hc�� e-�:�c�� � g�st� �-- <br />1201 LARPENTEUR AVENUE <br />ROSEVILLE, MN 55113 <br />(Q��'���a° ��S�J <br />Person to Contact in Regard to Business License: • <br />Name � �,:�vZ � � �i �:r ��-p ��s � � i � � C�� <br />Address <br />Phone <br />i��l �� �ec�'seu� (��� <br />�.��� <br />I hereby apply for the following license(s) for the tenn of one year, beginning January 1, 2014 , and ending <br />December 31, 2014 , in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Required <br />Sale of Consumer Fireworks in existing retail business <br />Sale of Consumer Fireworks as a sole business <br />Fee <br />$100.00 <br />$350.00 <br />The undersigned applicant makes this application pursuant to all the laws of the State of Miimesota and regulation as <br />the Council of the City of Roseville may from tnne to time prescribe, including Minnesota Statue #624.20. <br />Signature ` � � <br />Date �� � � � � �� <br />If completed license should be mailed somewhere other than the business address, please advise. <br />FIRE SAFETY INSPECTION IS REQUIRED PRIOR TO THE SALE <br />OF ANY CONSUMER FIRE WORKS ITEMS. <br />INSPECTION TO BE SCHEDULED WITH THE <br />ROSEVILLE FIRE DEPARTMENT (651792-7341). <br />LICENSE TO BE PROMINENTLY DISPLAYED IN SALES AREA. <br />