Laserfiche WebLink
��� � . . . .. <br />�. <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651) 792-7034 <br />Cigarette/Toba�co Products License Application <br />I�u�ivti.s ��JI7v <br />�usi n��� �ddrass <br />�as��;n�ss �Fl��:�� <br />Ernail Address <br />����� <br />_� !' � � �F ,� �` � �_ �_ � ���_ �' <br />� �'' - - • . <br />� ��� ���'���1���4�` f'1�1e_ <br />� � � - �# ��� � ��� � <br />—�� . , � � -- <br />PeYSOn to Contact in Regard to Business License. <br />Name ��'�f � �.n �� � �� �` ��. �� <br />��� , , r e . <br />Address <br />� . • ---, s, <br />Phone <br />I hereb a 1 for the followin licettse s for the term of one ear be �nnin Jul 1����' � and ending June <br />Y ppY g {} Y��� � Y, , <br />30, ,� ��� , in t��e City of Roseville, County of Ramsey, State of Minnesota. <br />License Reauired <br />Cigarette/Tobaceo Products <br />��r-_r_ <br />$100.00 <br />The undersigned applicant makes this application pursuant to all the laws of the State of Minnesota and regularion as <br />the Council of the City of Roseville may from rime to time prescribe, including Minnesota �tatue �� 76, �82, <br />f �i r <br />Signature �1 � `~''�'�'� . +7 �` ���F7 <br />Date �� � � i � �� <br />If completed license should be mailed somewhere other than the business address, please advise. <br />