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I� ��-� � , <br />�� �� � � <br />City of' Roseville <br />�'inance Depar�ment, Licens� Division <br />2660 Civic Center Drive, Rosevil�e, MN 55113 <br />{G51) 792-703b <br />Game Room License Application <br />Business i�iamc ' � <br />Business Address v,o�,�, � ��r �, ._�,�,� �, <br />O — . ...__._. r"..""..� ' C-� '��� <br />B��sines� Plzone <br />-- ` - <br />E�i�ail flddress �1 j � <br />� <br />Persorr to Contacl iiz Rega��d lo B��siness Licejise: <br />Natl�e � <br />�ddress � 4 <br />Phone �� <br />f, I:�ereby apply for tlie follo«�i��g I�icense{5) for the term of o[�e year, b�giuui�lg July l, � da 5 , and <br />ending Jui�e 34, vZt� �o , i�i d7e City af Raseville, Caunty of Ramsey, State of Minr�esota. <br />�.icense I2equired I�ee <br />Ga�lie Roonz S 175.00 <br />�'Iie undersigned ap�licant i��akes this appIicatian purs��ant to all tFie laws of the State of Minnesota and <br />reguIation as die Councif of the C�ty of Roseville may from tiine to time �rescribe, incltfdii�g Mi��t�esota Statue <br /># 176.182. <br />Signatitrc _ � <br />Date (p �'� j --�'� <br />A fire i�tspectio.�� is �•eq�i�•ed bef'ore issuance on a liceuse. ['tease ca[! 651-792-7341 to set up an <br />ins�ection. - <br />lf co��iplcted fice�lse shoulci be mailed. samc�viiere other than ti�e busit�ess address, please ac�.vise. <br />� f hC� �� Se-- C]�, � t � � � �C� �c�- <br />�� e-�► e� r{'o � l C� c�, ��. a,-�-- �5 � 1��o s�e- � 1� c.�-,-�r <br />� o �.�, �� � �`-� � ss t 13 <br />