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� � <br />� _ , � <br />�. _ � � �_ � <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55ll3 <br />(651) 792-7034 <br />Ci�arette/'�'obacca Products License Application <br />Business Name ���'t��� TT� �J� ��13.�C� �� 4210 <br />Business Address 2�.72 � 1��-� �6E�1L[..IE, � S�L�,�-43�.7 <br />Business Phone 651�89-1108 <br />��ai� Address _ <br />Person to Contact in Regard to Business License: <br />Name k�`F� .� T���� for S�nTAX �1TR,'ti}7-[}I�L � <br />Address P.O. �Y 1580 I1�+L� T_�'f. SP�`T�D, �II1� 45501-1580 <br />Phone 937-863-f�+73 <br />� hereby apply for the following (icens�(s} for Sf14 term of one year, beginning July I, r}�.� , and ending June <br />30, �.� , in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Required <br />Gigareite/Tobacca Products $100.00 <br />The undersigned applicant malces this application pursuant to all the laws of the State of Minnesota and regulation as <br />the Council of the City of Roseville may from time to time prescribe, �ncludir�� Minnesota Statue #176.1$2. <br />��t:n7lisn���ti;',?��y�����v���-.1�?f��.�'.� ���Gi i�� ������� 1���� <br />��� ��- 1���� ---.. <br />_._. � .. , ---- <br />If completed license should be mailed somewhere other than the business address, please advise. <br />.�3;Y �.TFT�,��I�4 LL <br />P-�'r- �' L� T T�'.F�.�I;F., I"FFr_ <br />�R.IT����� �F �+�a�-1� <br />