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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 />Gasoline Station License Application <br />Business Name <br />Business Address <br />Business Phone � � � <br />E�nail Address <br />��� <br />I� -- � <br />—�� <br />W <br />�� <br />Pet�son to Contact in Regara' to Business License: <br />Name y� � ���}�--��y1�i��r+ <br />��� ��a +.�+*� T Fwr�r �. <br />Address �� �� ��f�� <br />Lll�� ��1���, �ilr� ��1t� _._..-�-- <br />Phone l �*� i��. _ _ _ _ _ __ __ <br />��� - - <br />I hereby apply for the following lic�nse(s) iar ihe term of one year, beginning July 1, ��� , and <br />ending June 30, '�-�D�, in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Required <br />Gasoline Station <br />Fee <br />$130.00 <br />The undersigned applicant tnal<es this application pursuant to all the laws of the State of Minnesota and <br />regulation as the Council of the City of Roseville may from time to time prescribe, including Minnesota Statue <br />11176182. � <br />•��'�- - <br />A fire inspection is re <br />inspection. <br />S i��ti�i.u•: <br />Date <br />ed before issuance of a <br />� <br />Please call 651-792-7341 to set ub an <br />If completed license should be mailed somewhere othe�• than the business address, please advise. <br />