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<br /> <br />16 02 <br /> <br />FI <br /> <br />p.n2/04 <br /> <br /> <br />- .. <br /> <br />Fin~lInce DepaHilrm;~nt, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(65Jt) 490-2212 <br /> <br />fCiga.rettelTobaeco Prfodl1l1cts License J.t\ppliication <br /> <br />~r;;;.,,,, <br /> <br />. <br /> <br />jiiOiiiiiiiliiiiiii <br /> <br />:.:; : <br /> <br />~~, '~=-=ili'iiiiiii <br /> <br />Business Name <br /> <br />}OR cIa:/V _~fl9p ,__ <br />of I,P/ /02./-~ fi-,kL~,0.A/, POJ eh II e ______ <br /> <br />~----- <br /> <br />Business Address <br /> <br />------- <br /> <br />Business Phone <br /> <br />/7,/ CL <br /> <br />--.-. <br /> <br />------- <br /> <br />Per.~Ol1 to Cont'2cl in Retard to Business License: <br /> <br />Name <br /> <br />III u'H.if2. Jq dr/' <br />.3'00 '3 ~~A~: cku/;f , ~~ S5Y0-6_==== <br />;;a- :7;(/- Y./Y:Z;/b,(.J~_7./2- _J-g;Y~ _ <br /> <br />Address <br /> <br />Phone <br /> <br />I hereby apply for the following licen:;e(s) :for the term of onE;: year, beginning July 1,2003, ar:d endir;;g June JO, <br />2001', in the City ofRoseville, County of Ramsey, State of Minnesota <br /> <br />--'--"""'--- <br /> <br />License Eequirec!. <br /> <br />fu <br /> <br />Cigarette/Tobacco Produ\:ts <br /> <br />$100.00 <br /> <br />The undersigned applicant makes this application pursuant to all the laws of the :3tate of Minr'esota and r(~gulation <br />as the Council I)fthe Ci~' ofRoseviIle may from tim,e to time prescribe, including Minne:lota Statue #176.11n. <br /> <br />Signature <br /> <br />C~'~ <br />.~~- '~J.-\-- <br /> <br />0/0;;O~ ) <br /> <br />I <br /> <br />------- <br /> <br />Datl~ <br /> <br />If c')mpleted license silwlJld be maUed somewhere 11th e:r than the business ari!dress, pleasr~ advise. <br /> <br />......--.--.-- <br /> <br />111.,_ <br />