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�{'� <br />�� <br />City of Roseville <br />Finance Departmet�t, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />: (651} 792-7436 <br />Gasoline Station License Application <br />Business Name � p. �' �� : <br />Business �lddress ! J �� �" . C O (,�/�� �- � _.� ��,fi j �� �..__��f � <br />Btisiness Phone ��� v�J� :�`�� Ti L U� "(O''l'�J�� ��e�C.. <br />-- , ..- <br />Emai1 Address <br />, Person to Contact in Izegarct to Business License> . <br />Nan-�e ���i �✓'\ <br />AdcEress i� � �i��� 0�� :S�':�/f� ��}. <br />� <br />P�one Little Can�da, IIRi� 55113 <br />I hereby apply for the follawing license(s) for the ter¢n af one year, beginning July l, �� , and <br />ending June 30, �, in the City of Roseville, Caunty of Ramsey, State of Mi.nnesota. <br />Lice��se Re4aired E'ee <br />Gasakine Station $130.00 <br />The undersigned applica��t makes this application pursuant to all the laws oithe State oFMinnesota and <br />re�ulation as the Councii oi the City of Roseyille may from time to time prescribe, including Min�esota Statue <br /># 176.182. <br />Signature <br />Dafe �� <br />A flre inspection is r•equi�•ec3 before_issuance af a lice,��se. �lease e�ll b51-792-734J to set u� a�i <br />inspection. ° <br />[�completed license should be rrtailed somewhere other Ehan the business address, please ad.vise. <br />