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�*�� <br />� i � <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, �T 55ll3 <br />(651)792-7034 <br />Gasoline Station License Application <br />Fti,�:inCSS N�nC ��1��� _ �� �`�,�1 _— J� i..�� '.�� ����� <br />��asi��s �cl�Ir�ss ����__.��� �1����� _ ��y. ��f� �� f �r� � �. ���. <br />� ,"�/ �] � <br />Business Phone �� � ' ��✓C�' _ �� / � <br />�m;�l �dd� �lf r�-� ������� � � , . ���_ - <br />Person to Contact in Regard to Business License: <br />7� ame ��� �/�'��_� <br />r������� �? ���� � .�i� <br />Phone _��� • ���� ����� <br />a �y <br />��� �� ����� <br />I hereby apply for the following ]icense(s) for the term of one year, beginning July ].�_, and <br />ending June 30, .�� , in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Required <br />Gasoline Station <br />F�e <br />$130.00 <br />The undersigned applicant makes 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 ti��� µr��ib� itie]u�- h�n^scrla 5�n[�c <br />#i76.�$2, ��� <br />� <br />�' <br />Signature <br />Date <br />A fire inspection is required before issuance of a license. Please call 651-792-7341 to set up an <br />iuspectiol�. <br />If completed license should be mailed somewhere other tk�ar� the business address, please advise. <br />