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Business Name <br />]'i��intiss AdJress <br />Business Phone <br />��ail Address <br />�� <br />��� � <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55ll3 <br />(651) 792-7034 <br />Gasoline Station License Application <br />��Y ��.�'F�',[ �� T.� c�. ��.?��&I+�?'� �F 4115 <br />�.?�35 �I�IFE ���.'�.'� ���' R:-���''[T�,, '� �17 �t?� <br />651-631-1241 <br />Person to Contact in Regard to Business License: <br />�rrs 'II#�� 3L��ti� L� ��,�+€ �r�#�U"�� Lisf <br />Address <br />Phone <br />P.O. F� 1580 �CII�� I�.', SF����r OHI0 �t�501 158� <br />937-863-6473 <br />I hereby apply for the following iicense(s) for the term of one year, beginning July i, �� , and <br />ending June 30, ��' , in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Req uired <br />Gasoline Station <br />Fee <br />$130.00 <br />The undersigned applicant malces 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 />��7G.182. <br />�,�„t�� ��� �;����,�,License Coordinator <br />T�a��� ����r f ��:ry <br />A fire inspection is required before issuance of a license. Please call 651-792-7341 to set up an <br />inspection. <br />If completed license should be mailed somewhere other than the business address, please advise. <br />�'���lf �.�3�,��'�,��'� €� <br />P.O. �� 1580 LT'I� i�I': <br />s��, �4 �':r5�1��� <br />