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�� � <br />�a, � , � � � <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651) 792-7034 <br />Gasoline Station License Application <br />������ 1��rP G <br />Business Address <br />Business Phone <br />Email Address <br />+ � � ' � �krll+ri'a'i�7�. � f T.� � iJt� � •n�i�H� .� ir ��`�: } <br />2�,72 T_ .F�T �r � i��V.�.LE, �'[�T 55113-�3�.7 <br />651�89-1108 <br />�7rt <br />Person to Contact in Regard to Business License: <br />NSrS�c� ��'�t'i � r�- ���Y � PGI�.B�'kTr�'� t� x: <br />Address <br />Phone <br />P.C7. � 1580 LI�3� l�`. S�D, �II'� 45501-1580 <br />937 8&3-6!�73 <br />I hereby apply for the following (icense(s} for the term of one year, beginning July �, .�'�'+�� , and <br />ending June 30, �-J�' , in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Reauired <br />Gasoline Station <br />F e.e <br />$130.00 <br />The undersigned applicant mal�es 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 />{� 176.182. <br />� <br />Signature .����'�����,w,���: <br />Date � {� <br />:�����.n�� Coordinator <br />A tire 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 />SI��AY ,����]'��� � <br />P.O. �JX �.5� LU�'�`� i�T. <br />SPRTl�L�, C�iIO 45501-1.580 <br />