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City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651) 792-7034 <br />Theater License Application <br />. — � _.�� <br />�� ��{� ,�., ��.: f .- � <br />I�c•inesg �a:ri� —�:'� .A 'f_ 4� i � �+- ar _f �� �'�-� ��� _. <br />F�utiinrsx Address <br />F�usin��4 1'�i�[5C �� I .•• ��''�'�' — �- � � � .. <br />�mail Address <br />� <br />- � ���� <br />�':•r.7:��: ;r.� ['r�rii:,x•f ira �ii,;ur:i r{� �f.�yjan•s•s � ?r•�•i�tir• <br />,� �- - �" � _ � <br />�� �������� . � ���� �`� t ^:�-�' � .. ���i`���r:�� <br />�� � r 3y� rf <br />� _�� �5�_� � I r.�li:�, �� r 4 J� ��,+� <br />�f r <br />� _. <br />�iorle �'���_�.. ���~'��' � �� __. . . . .— . _ _ _. . <br />I hereby apply for the following license(s} for tE�e term of one year, beginning July 1, ��t�� , and ending June <br />34, �,��� , in the Ciry of Roseville, Counry of Ramsey, State of Minnesota. <br />License Required <br />Zi103t0Y <br />Fee <br />�%�.�� <br />�p�.T screen) <br />uan�it Total <br />��.--�- <br />rr� < <br />The undersigned appficantn3aices this application pursuant to all the laws of the State of Minnesota and regulation as <br />the Council of the Ciry of Roseville may from time to time �+r�w�,r. �5��, including Minnesota Statue #I75.182. <br />3 <br />y r � <br />I f, ./ � J}�, � <br />Signature �r ��f: ���.-�~� l �---���'�-�� <br />� *�? � <br />�ate . �,�'� _ �..� <br />A fire inspection is required before issuance of a license. Please call 651-792-7341 to set up an inspection. <br />If completed license should be mailed somewhere other than the business address, please advise. <br />