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,�� � � <br />��M k <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, ldi1� 55113 <br />����� '���-'���� <br />� t���'�t � ���'�f�� ��.� �' �-� �� ��� �� �� i ��ns� A�p ii�� ���r� <br />Business Name ����� �'�[�ICA LL� clL� �-TT�I'����iT-��S, �� 4210 <br />Business Address 2172 T,T�,�r*T�� AVE �fT�.']T T T'7 I� 55113-4317 <br />Business Phone <br />Email Address <br />651 �:,x�' 1, �, <br />Person to Contact in Regard to Business License: <br />Name 'IFF�S':� r�� ' �i ����'�'r SCFII�'��Fi3�� �. <br />Address P.O. B� 1580 L:LCQ+E� t�' 4�!'�'TF7T�. � 455QJ.-Z5�0 <br />Phone 937-8636473 <br />I hereby apply for the following license(s} for the term of one year, beginning 7uly l, � , and ending <br />7une 30, , in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Required <br />Cigarette/Tobacco Products $100.00 <br />The undersigned applicant makes this application pursuant to all the laws of th�tate of Minnesota and regulation <br />as the Council of the City of Roseville may from time to time prescribe, including Minnesota Statue #�� 76. � 82�, <br />�:� � t � <br />Signature �;;�Y�.Y���_��.����k t�1�. �. <br />L�KL4 � '��oi��� rj� <br />LICENSECOORDINATOR <br />If completed license should be mailed somewhere other than the business address, please advise. <br />�k'��" ,����k��T;'A f f� <br />Y.[�. ii�i l� ���lu I�l]'�' <br />�2L�c�r�, �i �5�1-L� <br />