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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 />Business Name Q --�--- � � ��- � � � '�,r � � •' � �_ � _ -, �<. � <br />� a <br />Business Address � _ •k ��_ , � _ �� �.�. ,: �� � �a �� ��� <br />_ _� . — TM _ �— <br />Business Phone � �� �~ ��� € � <br />��nail Address <br />Person to Contact in Regard lo Business License. <br />�:��1�� _... -. '� �� i- � ���} t <br />n. <br />Address �•-� �, <br />Pl�nne ti =�- �. <br />� <br />I hereby apply for the following ficense(s} for the term of one year, beginning July 1, 2.�� % , and <br />ending June 30, �� �' �, in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Required Fee <br />Gasoline Station $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 Rosevillanay from irm� ��� iim u peGSCe�x., in�:] atl ir��-h�i � �,�est �r� <br />Statue # 176.18�. � <br />�-- - � <br />�x- � �~ �l -- ��� <br />Signature "- <br />�- <br />Date ' __ � ;� �*__� <br />A fire inspection is required before issuance of a license. Please ca11651792-7341 to set up an <br />i��snection. <br />If completed license should be mailed somewhere other than the business address, please advise. <br />