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Business Name <br />Business Address <br />Business Phone <br />�mail Address <br />�4�� � <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 />� � �� � � � ��1��� ��° �������� <br />... . _ ... ...�.. ._ — <br />. ��. ����������� <br />�� �:�.��s_�%� <br />i - <br />' ' ' f� <br />Person to Contact in Re�ard to Business License: <br />� � <br />�aiiir- ��� ��� �.�--- -- <br />a [{ <br />J LJI���+ <br />. .� <br />Phone - - - - <br />� <br />.�• '_ __ '1_'__ _ <br />f <br />1 hc�=�.b}� :�p�l� ft�: �I��. �t�'-1�5Yii,� Iic�nse(s) for the term of one year, beginning July 1; o�� , and <br />tnclen� ��e ��F �� i+s the City of I�iseviiie, County of Ramsey, State of Minnesota. <br />License Recluired <br />Gasoline Station <br />Fee <br />$130.00 <br />The undersigned applicant makes this application pursuant to all the laws of the State of Minnesota and <br />rc�u I a�it�n as �fi� ��, :: Ili I I{}� tI1C Cl'.}' l• �'�' {}Suk� i I I:m 1}• �rr�m ti m� tr� rri� pres�ril��_ i<<t Lti��ri -�ir� n�`� � <br />Sr�u� �il?�.18�. ��� � � .� �` <br />4ig,�7a,tur� <br />r <br />� <br />��ir <br />� <br />�� . <br />� <br />A fire inspection is repuired before issuance of a license. Please ca1165x792-7341 to set a� an <br />inspection. <br />If completed license should be mailed somewhere other than �li� business address, please advise. <br />