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... � �w. � . . . .� � � <br />��� . <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55ll3 <br />(651)792-7034 <br />Amusemen� Device License Application <br />1�,���-,�'"�`'��f�'=�`� � <br />�r r�./ � j- r : � <br />Estisi ��c{s .���� css ��� � ��f�, �. � �? � ��r r� l'�_�`a . � _r� ��:: ���._�� t � � _� .� lr .� <br />���1 ��� � <br />Business Phone ��f_, �� �� �"` �''���.- <br />�maa� Address <br />Person to Contact tn Regard to ,$usiness �icense � <br />Name - ���� � �� � �1 ��-- � ,� � �.��� 'r� ������� �� <br />-�...�... � :..�1`�'r.�� � ---- �'` ��_�� .._.. <br />r� <br />Address �� �_�������%� ���, �����_..._���-�,�� ����: — <br />Phone � _ ��– � � � - � a7�� � �a� �J <br />� hereby apply for the following �icens�(s) for the term of one year, beginning July 1, ��`�� � and <br />ending June 30, ;��'� , in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Required Fee uankit T�ts! <br />A�nt�sement Device $15.00 3 � � {��' <br />(per machine) <br />The undersigned applicant makes this application pursuant to all tlae laws of the State of Minnesota and <br />regulation as tE�e Council of the City of Roseville may frot� time to time prescribe, including Minnesota Statue <br />i� L?�s.9$?- <br />�~'• i <br />� . � — <br />Signature �� � r�����*� <br />r—_...—. . . . — <br />� }��y <br />Date t_ � �•" �a _ <br />A fireInspecrion is required before issuance of a license. Please call 651-792-7341to set up an <br />inspection. <br />If completed license should be �nai� d somewhere other than the business address, please advise. <br />� , f,� � <br />� ��-.�J= r�l �� � � $ ��`°� �-�it�P�'��� �f ��� �r�'�� �� <br />� � � ������� �� , <br />�������� ��_ ����� <br />��-�-� �: ���� <br />