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��, � � � <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 />Cub Foods West #31334 <br />2100 Snellinq Ave. <br />ROSEVILLE, MN 55113 <br />(�51'- (���-�%�(� <br />Person to Contact in Rega�^d to Business License: <br />Naine ��, t-� ✓��'� � ���� <br />Address � � �� 1��� ��'��i�-Ll�,/�� ���� � � <br />Phone ���� � ( � �-�� �� �� l �� ��i <br />I hereby apply for the following license(s) for the term 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 Fireworlcs in existing retail business <br />Sale of Consumer Fireworlcs as a sole business <br />The undersigned applicant inakes this application pursuant to all <br />the Council of the City of Roseville inay from time to tnne pres� <br />Signature <br />Date <br />Fee <br />$100.00 <br />$3 50.00 <br />laws of the State of Minnesota and regulation as <br />:, inclu�in� Minnesota Statue #624.20. <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 (651 792-7341). <br />LICENSE TO BE PROMINENTLY DISPLAYED IN SALES AREA. <br />("� � � c� � /�� �� <br />l� � � t °� /,'1/ .: <br />