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��r'T� � <br />��� <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651)792-7034 <br />Cigaret�e/Tobacca Products License Application <br />., <br />Business Name �" � �� +- - ,� 15 a r�''� �'�� :�`, � __.___ ._ � <br />�� � --� -� -- - <br />Business Address � ��� �� �w ] � f/����+� ��� <br />Business Phone �,�� - --� 5 � T �, {`� .`�� . _ _,_, _ _ <br />Err�ai� Address _ <br />Person to Contact in Regard to Business License: <br />� <br />Name �}�r����'—,f �f'-��.; ; �+' �� <br />Address ���i � ��L������ � � <br />]''I;or c <br />I hereby apply for the following license(��or the term of one year, beginning July 1, ��� , and ending June <br />30, �� f� in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Required Fee <br />Cigarette/'I`abacco Products $100.00 <br />The undersigned applicant makes this application pursuant tci ,i I] i4�e la�•� tiif dtit �ialt• ;rFTUf i i�r.�;: and regularion as <br />the Council of the City of Roseville may from rime to time �resc•rl�e nuludir�$ ,' i� 5[siu� 1� ]'�. �:�:'_ <br />� ' <br />Signature ��'– <br />�,� �� � �. . <br />If completed license shoqld be mailed somewhere other than the business address, please advise. <br />