Laserfiche WebLink
��� � <br />��� <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 />�LL����� ����« ������Y ���.i� ��` � ��,r��. � ra�.� <br />Business Address � �� � �'�� � � ' ' Tr � .`�� T ~—� <br />Business Phone 651$33 3848 <br />Email Address <br />Person to Cantact in Regard to Business Licerrse: <br />Name �� �I�� �� ��[r.��' 7,�1C�?�'�� L� <br />Address P.O. B� 1580 L�T��� �f. ��� �T.�. ��,� 45501-1580 <br />Phone �s������r i�+? � <br />I hereby apply for the following l�c�nse(s} for the #erm of one year, beginning July 1, 2� , and <br />ending June 30, �� , in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Required Fee <br />Gasoline Station $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 />#176. f $2. <br />a ' <br />���,�t��� ... ... .s� ������,�. License Coordinator <br />{r� � <br />Date � �� f`7' ?ri`!?�' <br />A fire inspection is required before issuance of a license. Please call 651-792-7341 to set up an <br />inspeetion. <br />If completed license should be mailed somewhere other than the business address, please advise. <br />�F7�T��} �.�4'Q}:�': I�.� <br />P.o. �� 1580 L�G�� ]�T. <br />:� ���T�IDa �r��' 455�1—�.5�((? <br />