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� �4. � <br />� <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651) 792-7034 <br />Cigarette/Tobacco Products License Application <br />Business Name ��� �����'� � � �?�?��'�� �s 4115 <br />Business Address 2785 �.�! t��' ��� ��"U:tf�E, I'T+T 551131755 <br />Business Phone 651�31-1241 <br />Etnail Address __�-_,��__ . . <br />Penson to Contact in Regard to Business License: <br />�,,� � ��,�r� r{� ��� ��t��� � <br />Address P.O. � 1580 LI'��� T�T�� S�IIV�.�D, (�I[�.� 4�5(?1��5� <br />Phone '�.�'+� yrt��� <br />I hereby apply for the following lioense(s) for the term of one year, beginning July 1, �-�` , and ending June <br />30, 2(�% , in the City of Roseville, County of Rax�sey, State of Minnesota. <br />License Required Eee <br />Gigarette/�'abacco Products $1 00.00 <br />The undersigned applicant malces this application pursuant to al! the laws of the State of Minnesota and regulation as <br />the Council of the City of Roseville may from tiine to time prescribe, including Minnesota Statue #176.1$2_ <br />."ii�mature�y�.�G�l�l'1.� �,�if'4�i,�ti ���� �' ��r � Li ��� � �- <br />i a�� _� �`,��{������ � <br />If completed license should be mailed somewhere other than the business address, please advise. <br />''�,'J11�!' �. �� � �w a ��� �i <br />' � :# :1 I��� `� u <br />'' 1!! 1� r �r � i�'� :� <br />