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��� � <br />�� � <br />City of Roseville <br />Finance Department, License Division <br />2660 Civ�� Center Drive, Roseville, MN 55113 <br />(651.� 792-7034 <br />�i�� rr���r��Tob ��}�� [� ���f u �!� Li�e n � � � ��l i cati�n <br />�#�e;itie.;s':ti�ire ��.arr'r��'�•` ���± _�I �� � �t� �'��+Y ��r --...°- --.... <br />Business Address � ��� � � � �_ <br />Business Phone . _ _ � ��:� ��� __ _ _ ___,� _ . _ _ __ _. <br />Email Address � . � _ <br />Person to Contact in Regard to Business License: <br />Na�ne ��,r� . _ � ��[ ��� ��'� _.. — — — — <br />,� _ <br />Address <br />Phone � <br />I hereby apply for the following ixcense(s} for the term of vi�e year, beginning July 1, _���_�_, and ending June <br />30, _��`�_, in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Reauired Eee <br />Cigarette/Tobacca Products $100.00 <br />The undersigned applicant makes this application pursuant :¢ .7; I 1F� fa�r.�� c�� i�� .Si,�[.' 0 �� if11 �='xi�l� nri� r�•��:��i::_� sn <br />the Council of the City of Roseville may frc�n7 time to time Rrr;;c❑�a�..'i�cli�cl ing r,+l;riiir�t;�:, � 7� rt I'F��� <br />� ��Signature � I _ _. _ _ <br />Date �� ��� � � <br />If completed license should be mailed somewhere other than the business address, please advise. <br />