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� � �� � <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651) 792-7034 <br />Gas Pumps - Private License Application <br />BusinessName �'� <br />Business Address � � <br />Business Phone <br />Email address <br />Person to Contact <br />� 7rr.w � <br />�� <br />_. �.��i.- .�..��-.� �_���._........ <br />Regca^d to Business License: <br />i � <br />�—�� - <br />.fti �� <br />� <br />Address <br />Phone --- �����.,� <br />I hereb a ly for the following licens�(s) for the term of one year, beginning July 1, �� , and ending June <br />30, �_ in the City of Roseville, Counry of �amsey, State of Minnesota. <br />License Required <br />Gas Pumps - Private <br />Fee <br />$60.00 <br />The undersigned applicant makes this application �urs�� �=� 3� �[ q� S� uf �fxrm�:u�a:�e��1 ��,n� � <br />the Council of the Ciry ofRoseville may &omtime to tin�a pr• , fr�E7i�lin� h�fi� -a� Sr{it� �L ��.68�. <br />�5 �, — <br />i � f� i i � � r - <br />�i�ry�IfC } - <br />Date ��� �� � <br />A fire insaection is reauired before issuance of a license. Please call 651-792-7341 to set ua an insaection. <br />If completed license should be mailed somewhere other than the business address, please advise <br />