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���1� � � <br />��� � <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651) 792-7034 <br />�ag�.re�te/�'o�a�co Products License Application <br />F�t��i�e�� Nam� ���� l � ���..— ���i �� �.��� �' <br />� � � -� - <br />Business Address ����� ��%` • ���-�� ..�_� � � � ����/'����� � <br />� <br />Business Phone �.�'���� _���� ���� .___ �� <br />Ernail Address <br />Person to Contact in Regard to Business License: <br />� �� <br />�<��n�? —�����---�-' -• � �- � <br />Address <br />Phone <br />I hereby apply for the following licens�(s) for the term of one year, beginning July 1, , and ending <br />June 30, , in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Reauired Fg� <br />Cigarette/Tobacco Products $100.00 <br />The undersigned applicant makes this application pursuantto all the laws of fi��tate of Minnesota and regulatio�� <br />as the Council of the City of Roseville may fr�zt time to 1 i ir.� prescribe, including Minnesota Statue # 176.182. <br />Signature �,���-"�`� <br />� <br />u�� ������ `��� -' -- —•- <br />If completed license should be mail�d somewhere other than the business address, please advise. <br />