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��� <br />��� <br />��� of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, �'Fi� �T 13 <br />��� 1� ���-���� <br />��g� r� ��:���T� ����� �r��� ��� � i�� r� s� �������t i�n <br />Business Name <br />}3 uain� s� A�Ldrt � <br />Business Phone <br />Email Address <br />, _ . <br />��'�' ��1�� T�xr c�. :?F1'�f�?�� �� 4502 <br />,'.�i�f'.� r lfa x'.'1�T I�T} f.1 =?r1FT't _I_ '., �'�+1 '��'_ 1 ���i�`I <br />557�-633-3�8 <br />. � .�.-....�,�v�.�� �u a ti <br />Person to Contact in Regard to Business License: <br />Name <br />Address <br />Phone <br />��'�1 ��il�� �� �i�, �,��iti}��ic3 �i <br />P.O. I� 1580 L� �' S�RIl��D, C�i 455(i1.-1586 <br />937-863-6473 <br />I hereby apply for the following License(s} for the term of one year, beginning July 1, � , and ending <br />June 30, '.� , in the City of Rasevill�, County of Ramsey, State of Minnesota. <br />License Required <br />Cigarette/Tobacco Products <br />F�.e <br />$100.00 <br />The undersigned applicant makes this application pursuant to all the laws of tla�itate of Minnesota and regulation <br />as the Council of the City of Roseville may from time to time prescribe, including Minnesota Statue � 176.182. <br />Signature . ��,*,��r��a �l} �'�,��;,�:1� ��r LICENSE COORDINATOR <br />� � <br />i���c i?�.�.�. ��r � � <br />If completed license should be mailed somewhere other than the business address, please advise. <br />'�'il:L�ti"S3� �*�.�.�r,�+� ; rr� <br />1�.�'. I� ���.' �I:�1`���� l�l'�'I <br />' �;a ±�f �55Q1-��L' <br />� <br />