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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 />Cigarette/Tobacca Products License Application <br />Business Name � <br />�� � - �•----• �� -- - – — <br />Business Address �.._.. . �_� � '���� � <br />Business Phone _ �� � �. .. ���� � � . _ <br />�mail Address <br />Person do Contact in Regard to Business License: <br />n <br />Name �� � �_ ��!L. � <br />Address ��1 �i�1�� �(� ���"'1i��� �70. <br />. � _....— --- <br />Pnone �iE�� Canada, ��4 �5�13 ��-� �.� :...���� <br />] Ei�u.i�x a�� �4• �1�4 the following �icar�se(s) for the term of one year, beginning July 1, (�� , and ending June <br />:�u. __, in tbe City of Roseville, County of Ramsey, State of Minnesota. <br />� License Required F�c <br />Cigaretiel"�'nbacca Products $100.00 <br />The undersigned applicant 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 ti€ne to fiime prescribe, including Minnesota Statue #17C�.I$2. <br />/ � <br />Signature . _ _� <br />Date �� �� � <br />� � <br />� <br />Ifcompleted license should be mailed somewhere other than the business address, please advise. <br />