Laserfiche WebLink
� ��� <br />y � <br />�� <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651) 792-7034 <br />Czgare�te/To�a�co Products License Application <br />Business Name <br />Business Address <br />Business Phone <br />E€nail Address <br />����-� � <br />��� <br />�� ��� <br />� <br />�� � <br />L, � <br />� ���� � � <br />� <br />Y ���� <br />Person to Contact in Regard to Business License: <br />Name �]��f, ��� „��^ <br />P�.�t�t � ��� ��� ���VI� �� <br />ht�dre4k oir•rs �'+rrsa+ <br />�•f�r,a�.--�[ <br />�,.� � � L�:t�� ��n,�d�, !�I M� y 7 3 <br />Fr_�n,e _ �_�� �'_ _ . . . - �---�- � — <br />I h�i t'�� ,i •�ply for the following license{s) for the term of one year, beginning July 1, ., .� , and ending June <br />i[�, � . in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Reauired <br />L' e.e <br />Cigarette/T"obacca Products $100.00 <br />The undersigned app[icant malces this application pursuant to all the laws of the State of Minnesota and regulation as <br />the Council of the City of Roseville may from time to time prescribe, including Minnesota Statue #176.1 &2. <br />�'. <br />Signature ,�„ �' _ <br />Date ���� <br />Ifcompleted license should be mailed somewhere other than the business address, please advise. <br />