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�� <br />�� � � � � � <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651) 792-7034 <br />Gasoline Station License Application <br />�.,_, . <br />1 �� �`� �� ' � ^� r� ��� 5 ��r k jCJ I �}%I`I� ��I��� •� ���1 r � ' � <br />Business Name � <br />Business Address I � � � �'� - � <br />Business Phone � ��� � � ���—r�1" � <br />Emaa� Address <br />�l 4�!�i � � <br />Person to Contact in Regard to Business License: <br />� I' <br />Name r 5� � � �,'� ��t� ��`L �LI�� �I� �1�Q� '�O _ <br />i k p[� fe� ' ' --��--- <br />Address ��� ��r�� �� ��� �'� <br />� � _� --- <br />Phone �� '�� �.�. � � . � _ .. .._ . ._ <br />I hereby apply for t�e following lic�nse(s) for the �era� of one year, beginning July 1, �� , and <br />ending June 30, ���% �, in the City of Rosevilie, County of Ramsey, State of Minnesota. <br />�,�ce��se Required <br />Gasoline Station <br />Fee <br />$130.00 <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 Rosevillc-�ay from time to time prescribe, including Minnesota <br />Statue #176.182. <br />f� <br />Signature � <br />Date �� � � � � . __ <br />A fire insnection is rec�nire€Y before issuance of a license_ Please call 651792-7341 to set un an <br />inspection. <br />If completed license should be mailed somewhere other than the business address, please advise. <br />i � f , <br />��L� �� �` ��,I, � `1 �`' . <br />..`'fi� I��ft'M ��.+�I ��! ��r�� ��. <br />�'� � �a� ��� <br />�t��� �� �� ��� � <br />