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���� <br />�� � _ _ � . �. � r, � � <br />City o f Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(G51) 792-7034 <br />Ci��.re��e/Tobacco Products License Application <br />Business Name <br />k��sin �ss �r1�3r�:,s <br />��s <br />s <br />�� f � �, ���'��c�� � <br />F��i.}in�ss PE��7ne �'�'� � � �� •� ����' <br />Ernail Address ���- <br />Person to Contact in Regard to Business License: <br />Name <br />A;3d r��s <br />l�l7nn� <br />��� � �1. ��,,r��c� <br />�v.r���C i�-�'�'�d� <br />I hereby apply for the following lice��se(s} for the term of one year, beginning July 1, ���� _, and ending <br />June 30, �oo �' , in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Reauired <br />Ci�arettelTabacco Products <br />Eee <br />$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 � T 76.182. <br />Signature �}���• <br />Date �!/(� � <br />If completed license should be mailed somewhere other than the business address, please advise. <br />