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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 />Cigare�t�/'I`obac�o Products License Application <br />Business Name <br />Business Address <br />Business Phone <br />Eix►ai1 Address <br />� # ��d� ��!'�'�5.. f.� ��"t' �o�+�Y r�•�� ��� <br />W <br />,�� �� �� /�r_ .� � �r�.,�,��c;' {��� � � �`� ��— <br />�v�'-r <,� �i �'� � �� �� <br />; � <br />Person to Contact in Regard to Business License: <br />Name ���.*�-�-� ��� � ., � �.� <br />Address <br />Phone <br />� <br />a <br />I hereby appl� the following license(��or the term of one year, beginning July 1, ���r' �, and ending <br />June 30, ���' , in the City of Roseville, County of Ramse�, State of Minnesota. <br />License Reauired <br />Cigarei�e/Tobaeco Products <br />�� <br />$100.00 <br />The undersigned applicant makes this application pursuant to all the 1 ws of th�tate of h�it; �7 .,,-� and regulation <br />as the Council of the Citv of Roseville �av from time to time prescribe, 'ncludin� hA i�,r�s��;a��u� � 1��. I��_ <br />� <br />�iga0 �ur�. `� -- <br />l�stc _, ,���'� ��� � <br />ff completed license should be mailed somewhere other than the business address, please advise. <br />