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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 />Cigarettel'�"obacca Products License Application <br />�� } � � <br />Business Name <br />Business Address � ��� .4� V <br />�� f�lv � � <br />Business Phone � ���"�d � � `���� _ . . . _ <br />�mail Address _ <br />Person to Contact in Regard to Business License: <br />TEa�r�c � � �1�7 � �''� '�� _ <br />.�dd� ti4� `�� � �i�� ��� � ��+'f,� �J� � � ��� <br />Phone � �� � ��� ° �`�'�� �� ` ���'_— �� � G� <br />I hereby apply for the following lieense(s} for the term of one year, beginning July 1, ��� � and ending June <br />30, � r�� , in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Required Eee <br />Cigarette/Tobacco Products $100.00 <br />The undersigned applicant malces this application pursuant to all the laws of the State of Minnesota and re ulation as <br />the Council of the City of Rose�vi€le may from time to time p��� � �- :� �� "�� Minnesot� Statue 11'��, f$�- <br />Signature �_�����- <br />Date ._�.. ���� <br />If completed license should be mailed somewhere other than the business address, please advise. <br />