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���� <br />�� r <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651) 792-7034 <br />�'i��re����'['�I�acc� �'r�cli«�s I�i�et�se �►��li������i <br />� <br />..:.,�.�_�_.,�-�. <br />Business Na►�ie L�r-ti�4' :���•7;F1?�': �G dk�. Si1PHP,�MERZCA �� 4115 <br />���.;�r��;.,� _{,�,;��.,� 2785 N T��i_TP� AUE T��T.[CLr, �T� 551131755 <br />Business Phone 651�31-1241 <br />Email Address <br />Person to Contact in Regard to Business License: <br />Name <br />Address <br />Phone <br />��� �'�]����P -�� {'�]Ix,'� qJf'`7'?.��Trfr:'t T� <br />P.O. i�' 1580 T_T,��- Tr�: �iT`��F'!�, C�I 45501-1580 <br />937--863-6473 <br />I hereby apply for the following license{s} for the term of one year, beginning July 1, �7 , and ending <br />June 30, 2�J08 , in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Required <br />CigarettelTobacco Products <br />Eee <br />$100.00 <br />The undersigned applicant makes this application pursuant to all the laws of th�+tate of Minnesota and re�uiation <br />as the Council of the City of Roseville inay froEn time to time prescribe, including Minnesota Statue #] 75.1$2. <br />1 •, � r <br />� <br />Signature �'��`:�i,����.•,�. �r�� �. <br />r <br />�:SLt� �j �+ "� �.�I" r <br />_� � <br />LICENSE COORDiNRTDR <br />If completed license should be mailed somewhere other than the business address, please advise. <br />� .� . i4�t �c �L�I�IY.rJ�i�J\ik� TJ <br />I'.��. ��'`i ��7 T. �'TL�i� �'�'i <br />i��F ,,� F �Fl R �—�•� <br />� <br />