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��� � � <br />��F � <br />City of Roseville <br />Finance Department, License Division <br />2660 Civie Center Drive, Roseville, MN 55113 <br />(651)792-7034 <br />Amusement Device License Application <br />Ei�YGfrCSS �8rne � ��� �f �r f�„f� � <br />F3usGPCSs Jidjresx � ��� �J� �fa��Y'�{� f�f�' <br />�€��[17C�5 �S�R� ���'� �': �r7�� _ <br />�mdlj r�ErieSF. �i%i���- <br />Person to Contact in Regard to Business License: <br />}�:�r� � �� � � <br />_�iddc•� ����� �f��r�1�. <br />�nqn� �'�{- ��� r ���� <br />I hereby apply for the following license(s) for the �errt� of one year, beginning July 1, ���'T , and <br />ending June 30, ��•��._ __ in the City oC�Zosev�lle, County of Ramsey, State of Minnesota. <br />License Required �ee uant�t T^rai <br />0�, <br />Amusement Device $15.00 �r � � <br />f�:�� inachine} <br />The undersigned applicant makes this application pursuant to all the laws of the State of Minnesota and <br />regulation as the Council of the City of Roseville may from time to time prescribe, including Minnesota Statue <br />#176.182. <br />Signature � �' <br />�i:rc ��l �� � <br />A iire Inspection is required before issuance of a license. Please ca11651-792-7341 to set op an <br />inspection. <br />If completed license should be mailed som�where other than the business address, please advise. <br />