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Business Name <br />Business Address <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651)792-7034 <br />Poo11B�l�iards License Application <br />��� ������ <br />f J/ 1 � ���'�4r ���Y� f�l+�. <br />Business Phone �7�� ~� �� ^ � � � � <br />Email Address ��A�� <br />Person to Contact in Regard to Business License: <br />h �rr_= �� �� ���1 <br />}4ddF�5k � � � _�'���i�-�+ ��� <br />k'�,oi,� ���- � �� �� `���� <br />I hereby apply f: : the following license(s) for the term of one year, beginning July 1, �,,,aa"% , and ending June <br />30, 7�p� , in the City of Roseville, County of Ranasey, State of Mimlesota. <br />License Required <br />�'oolBilliards <br />� <br />$70.00 (first table) <br />$20.00 (each additional table) <br />uantit <br />� <br />�� <br />To��R <br />`7D�Dp <br />��P .l1 v <br />The undersigned applicant makes this application pursuant to all the laws of the State of Mimlesota and regulation as <br />the Cou�ac[1 of the City of Roseville may from time to time prescribe, including Minnesota Statue #176.182. <br />Signature � �e�� - <br />Date �_� ��'� <br />A fire inspection is required before issuance of a license. Please call 651-792-7341 to set �p an inspection. <br />If completed license should be mailed somewhere other than the business address, please advise, <br />