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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 />�i�arei�el'T'abacco Products License Application <br />r <br />Business Name ��F� �-���1���� ���� � � I �.��� �� � _ .�. <br />Business Address <br />Business Phone <br />��zaaa� Address <br />���. ��� <br />� �� : ��� r����� <br />Person to Contact in Regard to Business License. <br />Name ��`i' �� �'���+i��-�� <br />}4��c�r�.ss <br />� <br />Phone _ <br />����� ��- ���� <br />I hereby apply for the following license(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 Required <br />Cigare�e/Tobacco Products <br />Ee�e <br />$100.00 <br />The undersigned applicant �na�es this application pursuant to all the laws of t���'a�ate 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 />Signature � .. �- ����+'���'�'� <br />I �aiti: _�� ��� �� <br />If completed license should be mailed somewhere other than �Ir� business address, please advise. <br />