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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 Cub Foods West #31334 <br />Business Address 210o sn <br />ROSEVI <br />Business Phone <br />Ave. <br />MN 55113 <br />Person to Contact in Regard to Business License: <br />i � I <br />Name �....,�) �m° ���t�. � <br />��.; <br />Address �' � � ��' �.`�C...l �L� <br />r <br />Phone 4% ) (.�' � �� � � " / 9 �� l.,i <br />��'�� �_� f��_.... <br />I hereby apply for the following license(s) for the term of one year, beginning January 1, 2015 , and ending <br />December 31, 2015 , 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 rnakes this application pursuant to all the laws of the State of Minnesota and regulation as <br />the Council of the City of Roseville may from time to time prescr' , includ' Minnesota Statue #624.20. <br />� <br />Signature � _ �' <br />Date � C �a i � <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 />