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��� <br />� � <br />��� <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651) 792-7034 <br />C��aret�e/'I`obacco Products License Application <br />� <br />�� � �� ,•, � � r � �• i � �'� i •� . ,. � f-. [ �1�} T ir i;� � � �7 { �• � � <br />t�usiii��s �a¢rie k'�f��� k . �1.� ���i �� �.�L�X�'...� ....__�._, � �, I I �.�' .� � <br />Business Address { ��� � � � �� i-? �`'ti � �= I t � � �,� �� 1 f '� �� �� � � � <br />� <br />Business Phone [ V� �'� ��� � z� � �� <br />E�nail Address <br />Person to Contact �re Regard to Business License: <br />i <br />Name ��fr, - - �� � �� �' �. � -_- - <br />�__ `�� � �'��f�`1 .--r � <br />� � i��►t� � u�l �i� S��i� ��. . <br />Address _�b� �eC� �#��# <br />�-� �� ���_� L�IIe ��na��, �l h� �"� 1 � <br />Phone � � �. , � � — ----- � - . _. .. ---�---�- -- <br />I hereby apply for the following !'rcej�se(s) for the term of one year, beginning July 1, f� �{�� , and ending <br />June 30, _��c�� �_, i n the City of Roseville, County of Ramsey, State of Minnesota. <br />License Reauired <br />Cigarette/Tobaeco Products <br />�� <br />$100.00 <br />The undersigned applicant makes this application pursuant to all the laws of ili�itat� of Minnesota and regulation <br />as the Council of the City of Roseville may from time to ti�n� prescribe, including Minnesota Statue � 1'7�i.1 �2. <br />� <br />Signature _ <br />� <br />Date � � ir � � <br />�� . <br />If completed license should be mailed somewhere other than the business address, please advise. <br />� <br />�� r ��� � �� <br />�Y � <br />. �� f <br />��l �Li�� �!� ��f�F� ��. <br />�0� F�i�e S� �# <br />L�l#!� ���� fiJIAI �� 7 � <br />