Laserfiche WebLink
���r�� � <br />��� <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651)792-7034 <br />Cigarette/�"o�acca Products License Application <br />16i��i rr.��L ��rrit� � ['. � t �.��.� l.. � y � - <br />Business Address �� � ��.__._ <br />Business Pho��e �, � � � `� �i' f <br />Email Address <br />Person to Contact in Regard to Business License: <br />Name �� � v��• 1 . �1 � ��r 5 <br />Address <br />Phone 3 <br />I hereby apblv for the following lic�nse(s) %r Ih� term of one year, beginning July 1, _�_� _, and ending June <br />30, ��� , 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 mal�es this application pursuant to all the laws of the State of Minnesota and regulation as <br />the Council of the City of �oseville rr T, from time to time prescribe, including Minnesota Statue #I76.182. <br />Signature ��` ��� 'L � � ���ti_�� <br />Da1� •--._.r��.!_� f �� �a <br />If completed license should be mailed somewhere otber than the business address, please advise. <br />