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Business Name <br />Business Address <br />Business Phone <br />�naa[1 Address <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651)792-7034 <br />Theater License Application <br />�1_M �: � I ���.��rt��.� :���.:�� �.� � <br />�.��C�, �'��� �,��t[��.�Iv a � �r- � �'��!��—�� ��..__ `��� I.f � .-- <br />. �. i f ,• , � _ L <br />_42?. i -� �.} `� • !�� <br />Person to Contact in Regard to Buszness License: <br />�il.'r'IC � rlr[lJ��� �tir+lr5i.i 7J�1�1k�Co-�.1���l�Ll_�_ I_����if���}.J_[].I <br />�'� � , <br />Address <br />Phone <br />1 hereby apply for the following license(s) for the term of one year, beginning July 1, _,����, i_, and ending June <br />30, �����_, in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Required <br />Theater <br />�'ee <br />$70.00 <br />(per scrcen) <br />uantitv T�tal <br />� <br />f � � �� <br />The undersigned applicant makes this application pursuant to all the laws of the State of Minnesota at�� regulation as <br />the Council of the City of Roseville may from time to time prescribe, including Minnesota Statue # Z'76.182, <br />_ � <br />r� a � <br />*� i�;r_�[ur+t t_ �' l f'� � �;�,—d.'-,_�.��• �f �•� :r w � �fi.��5 �` �J.� � �i ���{� <br />1��� �1�- ��� �7 --� �— <br />A fire ins�ection is re�r�ti�ed before issuance of a license. Please ca11651-792-7341 to set u�► an ins�ection. <br />If completed license should be mailed somewhere other than the business address, please advise. <br />