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Business Name <br />1 � r <br />��� I <br />� <br />Cit�y of Roseville <br />�'inance De�ar�men#, License I}ivision <br />2664 Civic Cen�er Dri�e, Roseville, MN 55113 <br />(65l ) 792-7036 <br />Gasoline Sfation License Application <br />e � � � _ ..--_ ,� � . � ,� � ,� � <br />r <br />Business Address ���-�I ��c�'�����7� ,�L`' ,� �O ��'i�/�G�._�� 5���/` <br />Business Phone _����y,�i "� �J�' g G— . , <br />Email Address <br />Pers•on to Contaci rn Regard to Busr��ess License: <br />Name <br />- C� <br />Address _ <br />Phone <br />._ _ , � ,,� � <br />� . . -,� <br />��ereby apply for the following license(s) for the term of ane year, begini�ing J�ly I,-��0 7, and <br />ending June 30, �`, in the City of Roseville, Caunty of Rati�sey, 5tate of Minnesota. <br />License Required <br />Gasoline Station <br />Fce <br />� 134.Q0 <br />"t�he u3idersigned applicant makes this application pursuant ta all tl7e laws af the State of Min�l�sota and <br />regulatian as d�e Council af che City af Roseville may fram tiine to time prescribe, iiicludin� Minnesota Sfatue <br />#176.i82. <br />Signature ��/��'-�¢/��� -- <br />DaCe '� � <br />A f re ius �eclion is re uirec! before issuance of a license. Please C�11 651-792-7341 to set u an <br />inspectio�i. <br />If completed ]icense sltiould 6e mailed somewhere other than the business adciress, p�ease advise. <br />