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���F�.�7����� <br />� <br />Cit� af Rosev;�le <br />Finance Depar�m�r��, License Divisio� <br />2660 Civ�c Cent�r Dr�ve, Roseville, 1i'.�N 55113 <br />��si> ��z-�o�� <br />G�s Pumps - Private License Applicat�on <br />Business Narne / I' { I c�d /��a� d G� r l r.� f.��s c, h�� v L.. �� � <br />Business Address <br />Business Phone <br />Email address <br />��, /��„� ��. �����Vl�� <� ..�1� <br />�� � (.s7 � � - <br />, <br />' �� <br />� ��11G7 <br />��, /ls� � � _ <br />PeNSan to Contact in Regard to Business License: <br />�.-�,�' <br />Name �l /�+ �j,� (• �� \ <br />Address ���—� <br />1'llone <br />1 hereby a� iy for ti�e following license(s) for the term of oi�e year, Ueginning 7uly 1, z f.i a� , and ending 3une <br />30, Z� �' , in the City of Raseville, County af Ramsey, State af Minnesota. <br />License Required l+ee <br />Gas Pumps - T'rivate $6�.00 <br />The unders€gned applieant makes this app�ication pursuant to al� the taws of t e S�ate of Minnesota and regulation as <br />the Council of t�e Ciry af Rosevitle may �rorr� tiz�e ta tirne presca-ibe, incl �n� Minn sota Statue #176.182. <br />Signature -�-.f � <br />Date --,�. �/- t,� <br />A%re ins ection is re uired before issaance of a license. Please call 65I-'792-7341 ta set u an ins eetion. <br />If completed license shnuld be mailed somewhere other than the business address, pteas� ad�ise. <br />