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Business Name <br />aU�i rt�� r�ddr��� <br />Business Phone <br />Email Address <br />�� 1 <br />l� <br />� <br />City of Rosevitle <br />Finance Department, License Division <br />2660 Civic Center Drive, Rosevitle, MN 55113 <br />(651)792-7034 <br />Gasoline Station License Application <br />s��� ,�e�?��� r� a�. ��� �� �s� <br />2295 RICE �'IP�' _� :'1�1 E r�t+T 55113 3703 <br />651 787-0733 <br />Person to Contact in Regard to Business License: <br />Name �'� �� � �• ��#��€�t�'',1� L;� <br />Address <br />Phone <br />P.O. E� 15 80 LT.��� DIl�T'. S�t1i��I..D, C�4 45501-1580 <br />937-865�73 <br />I hereby apply for the following lic�nse(s) for the term of one year, beginning July 1, u� , and <br />ending June 30, � , in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Reauired <br />Gasoline Station <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 /># 176.182. <br />S�gnaturek��'��f�.License Coordinator <br />Date _��f��'�'�� <br />A�re inspection is required before issuance of a license. Please call 651-792-7341 to set up an <br />insnection. <br />If completed license should be mailed somewhere other than the business address, please advise <br />SP�Y �t1�''�AE.'�'�?IC.�i � <br />P.O. I�' 15� LTC�N� T)FTT, <br />�R�t'�^��, �I4 45501-1580 <br />