Laserfiche WebLink
� �k�� � <br />���� <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville,lW�� S5� �3 <br />(651) 792-7034 <br />Cigare��elTobacco Products License Application <br />Business Name <br />Business Address <br />.� � �� � � �. t� �-�- ,. . � -� <br />ti i �M <br />. -,�� — -..� .. I � <br />� ! .� J 1� .. �• � �: �, ��;� z� r^ .= • � �.� �:. <br />Business Phone _��� � tr '-. ��� ^ ��� �{ � <br />" � ,. <br />E�ail Address � � � „_ �- � <br />- I <br />Person to Contact in Regard to Business License: <br />, �- � <br />Name _ � � ��-�` n 1L � _�� � �f� �-� �' � <br />Address <br />T'lac�nr. <br />�� <br />I hereby apply for the following license(s� for the term of one year, beginning July 1, :��ti �' �� , and ending <br />June 30, ,�L' d in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Reqi�ired <br />C�garette/Tal�acca Products <br />Fee <br />$100.00 <br />The undersigned applicant makes this application pursuant to all the laws of th�tate of Minnesota and regulation <br />as the Council of the City of Roseville may from time to time prescribe, including Minnesota Statue #�176.182. <br />_w { <br />� , <br />Signature = ?�• �_�.'��x� �i�,.��,�, =� - <br />- — -�� <br />r <br />Date J���'U� <br />If completed license should he n�ai�d somewhere other than the business address, please advise. <br />