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�� 1 <br />���� <br />�I%' O� R.Q58V1��0 <br />Ffinance Department, License Divis�on <br />2660 Civic Cen�er i�rive, Rasevi11e,1VIN 5�113 <br />(651) 792-7034 <br />Ci�are��e/�'nlbacco Produc�s License App�ic��ion <br />$usiness Name ) �j� .-L. �"' 6Z -� f�� � .� `�fl� q <br />Busii�ess Address � . � � s�=-�,6�v �.� � �;i G-_ , ��Ly �,�� CJ � �..C� � � � ' <br />�usi�ess Phone v � � -� � ?--�`- � �" 4 � U � <br />Email Address -� _ . �`,� ,. <br />Pe�son ta Cantact in Regard to 13usiness License: <br />___-A <br />Nam� 1 1� i' � v�, �b���" <br />,. .� =r--� t � <br />Address ' .. __. . _ . `° � _. �..- . _ �__ �� m . . <br />Pl�one • - - -- .- <br />I hereby appIy for the i'oilowing iicense(sj iar tt�e term of oi�e year, bagint�ing July 1, c�"� anr� enrIing <br />June 3b, �., ?� � , ir� �he City of Rasevil[e, County of Ramsey, State of Minnesota. <br />L'zcense Rec��aired Fee <br />Cigaret�e/Tobacco Prod�cts $100.00 <br />The undersigned applicaut rr�altes tl�is appIicatip�� pursuant to all tl�e laws of tl��itate o�'Minn�sata a�id regulatio�� <br />as i�e Cocrncil o�t�ie uity of Rosevi��e may fro�n t�i�ne to tifn� prescFibe, i��clu�irag Minraesota Sta�e �I76.182. <br />Signat�re .���'v� `y.. )� �-���,.�6� <br />k-6z�.s k� � , �.--�� � <br />Date � � -� �- d.�� <br />�� compiefed �ic�nse should be mailed so�newhere other than the buszness address, p�eas� adv�se. <br />� � � �- �� �-�y S � �,�� � , <br />� "�� 1 �1��--�rt L��� <br />� <br />�____�-�� ��rn� � 1 '�. `�7 � �� -� � � �E� <br />