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�� <br />��� <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55ll3 <br />(651)792-7034 <br />Cigarette/'I'obacco Products License Application <br />Business Name �:�� �5''��.,T�'� LL� d1:�. �FT�'�2'��� �� 452C3 <br />Business Address 2295 r�.� ��-� �:1�TE, �'t+T 55113 3703 <br />Business Phone 651 787-0733 <br />E�nail Address <br />Person to Contact in Regard to Business License: <br />Name �A°4t~ �,[ll+�� trie ��''i.i� :��T',,��fT�1�'�� ;�; <br />Address �'.0. I� 1580 LL���{} T�f. ..�T��i. C�(� 45501-1580 <br />Phone 937—��+%3 <br />I hereby apply for the following Eicense(s) for the term of one year, beginning July 1, �JC� , and ending June <br />30, c�� , in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Required <br />Cigarette/T'obacca Products $100.00 <br />The undersigned applicant malses this application pursuant to all the laws of the State of Minnesota and regulation as <br />the Council of the City of Roseville may frotn time to time prescribe, including Minnesota Statue #�7G.182. <br />� �. <br />S�gnatUre �t. _ + � � ���Yf.�.�,�i����� Coordinator <br />i�� �� ��� ��� <br />� -r �- - <br />If completed license should be mailed somewhere other tha�. tho business address, please advise. <br />�r�a�- � r� ����, � raf <br />�.4. �� � �;'�f J1�+F�� F�F, <br />—�.�.� a�C4—ISti� <br />