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s <br />� , <br />��, � � � � <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651) 792-7034 <br />Cigare��elTo�bacco Products License Application <br />1�i:�i:iGxi �,il�l; <br />Business Address <br />Business Phone <br />�� .� ��r� � �� �� � r� � � r� � � ��''��j <br />--'._. . . . _. _ _ ...._. f ... <br />_ ...._ <br />G � <br />�,� 0 C� � f Ut � � f� �.-� � � <br />�� � � �- � � � �- � ���� <br />�rr�ail Address . <br />C <br />Person to Contact in Regard to Business License: <br />�k'J`_I'i: -.. �� + ' � �� �� <br />� <br />Address _� �. � � � ��{� r <br />1}�Ill'.'M1' L= •� � r �__� 4l �� � <br />� <br />I hereby apply for the following lices�se(s) fqr che term of one year, beginning July I,� d b� , and ending June <br />30, � b �, in the City of Roseville, County of Ra�nsey, State of Minnesota. <br />License Required <br />Cigaret�elTobacco Products <br />Ee.e <br />$100.00 <br />The undersigned applicant malces this application pursuantto all the laws ofthe State of Minnesota and regulation as <br />the Council of the City of Roseville may from ti�ne to time prescribe, :iit=��' 4fi iMia•rr.�ir_ �[n�ue mE r�.? 5?. <br />� . � �� — <br />Signature f <br />Date � �� _ � � _ _ <br />If completed license should he mailed somewhere other than the business address, please advise. <br />