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���� � <br />�r <br />City ofRoseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651) 792-7034 <br />Gasoline Station License Application <br />���� k: � �.�� � r�,;:� .{��.��1 �'�� �..��-� �-�. � �. <br />BUS1110SS NaT110 ���� r'r.• • iw�:�t� i�fl � ti� i��i y�'f�j [L.� ��{�.'� i� ��}�, �� r yY? �l %i t}Z I,.� <br />� • <br />Business Address � �� 8 �� r� � �. �-�, :�L� i Y L=��. =_ l� � � i��;� �_,� •. , � � [ � <br />Business Phone <br />Ei�ail Address <br />�'erso�x to Contact in Regard to Business License: <br />Name !��r���.��ti� � _ r..��� �v�'�-r.t� ����.�'�rrr2.;�.rt— <br />_�w[ii�{� <br />Pls��ri� <br />� �� �" L��i�r�_��� �.c� T_,��� � _ r����.��� ��'� ��� :�.�}�+�- f ��G'`'� — r � �..� <br />- - F <br />����> � " � �7 �}- '�`��,� � <br />I hereby apply for the following lice�se(s} for the term of one year, begr�lning July 1, �:� �'=a `% , and <br />ending June �t�, ��_� ��' , in the City of Roseville, County of Ra�nsey, State of Minnesota. <br />License Required <br />Gasoline Station <br />C{��� . r �•! <br />— -�'f :� <br />�" �„�� �' - <br />� 13��.�13 ' :: �!' <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 Rosavillemay fro�n time to time prescribe, including Minnesota <br />Statue # 176.182. , � <br />{ . � f. <br />L �..�va-r• '��� v�•G-� '• ' �i / �F _ �.� .. <br />� . . . <br />Signature _ � �� � � <br />! . _ _ . .{ rr'_ 1- � •�'• _ <br />Date � � ��-cr � <br />A fire inspection is reauired before issuance of a license. Please cal165�792-7341 to set up an <br />insnection. <br />f�completed license should be mailed so�newlieie other than the business address, please advise. <br />�� <br />���r+��� r;;'r�.��'...a����'C-��.:y!� rr <br />�',����� �� t�J� -�� ��-��r ^ � . <br />}s ��. ����� �d: <br />�'f- i���%* 'Yr�r{����� ��? <br />� <br />� ��£f L �'�-� <br />'�f I <br />