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�i <br />�� � <br />�� <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651) 792-7034 <br />CigarettelTobacca Products License Application <br />Business Name <br />Business Address <br />Business Phone <br />Email Address <br />�� ��� �� <br />_ �f� ����� <br />����'���'�'1 <br />Person to Contactin Regard to Business License: <br />�+ L J �+� <br />� a�ll�• �� �rl � _ � r. _ ��� � �� <br />Address �� <br />Phone _ _ <br />,� . - �-• �. - <br />� __. . <br />I hereby apply for the following lieense(s) for the term of one year, beginning July 1, ���_, and ending <br />June 30, _��_, in the City of Rosev�rF:., County of Ramsey, State of Minnesota. <br />License Reauired <br />Cigarette/Tobacco Products <br />Fpe <br />$100.00 <br />The undersigned applicant makes this application pursuant to all the laws of t1�c�tate of Minnesota and regulation <br />as the Council of the City of Roseville may from time to time pr��r i i;c, i r.�.[u�ia�� �{inr��:,ta ��<<u� � L'��_ L Si. <br />�� - <br />Signature � <br />I ��x � ��" � <br />If completed license should be �nailed somewhere other than the business address, please advise. <br />