Laserfiche WebLink
���_ � , _ � � � <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651) 792-7034 <br />Cigare�te/'�'ob�cca Products License Application <br />Business Name <br />� k:.� �: �� �-��.��_�- k �-� r ��4��.fk�� <br />Business Address � r�-� �a ��% 1�k==•� ��'���.�� r��� r{�� 3�� �,:: t,��i L�-�'�. f �' Vi*-� <br />. _��f� <br />Business Phone k� '� �--- ��'� �-- � C'�Z.-� <br />�mail Address <br />Person to Contact in Regard to Business License: <br />�a�'�e �� � I� • �'� � � � h <br />,. .- -� ---�� -�' <br />,���i� E��� <br />Pl�o�e <br />� �� •�• ��� .. <br />— �s� �*�'�:' � — <br />I hereby apply for the following license(s) for the 1��� of one year, beginning July 1, _�-�=� �_, and ending <br />June 30, '�.r��� , in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Reauired <br />CigaretfelTobacco Products <br />�ac+ <br />$100.00 <br />The undersigned applicant makes this application pursuant to all the laws of ���t�te of Minnesota and regulation <br />as �iae Council of the City of �oseviile �nay frqin time to ls�i i���r�ri , ir��4��1 ir� � 3�nc��s at�ic� R� "b.l a�. <br />� <br />Signature t � _ � � f <br />- - ._ <br />Date �.� — '�-f -- �� �� � <br />If completed license should be rnai�cl somewhere other than the business address, please advise. <br />