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�� � � � <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 />Business Name <br />Business Address <br />���r� ' � 4'!_- <br />� � � � ������� �� <br />Business Phone ���_ ��_a (� ��-� <br />Emaii Address ■ <br />Person to Contact in Regard to Business License: <br />��I.'IIL' � _ 4� lf ���,,�" <br />AJJre�s _.��� ��_�����- <br />c���t��� � J � �+ � - �� �� <br />�������� ������ <br />I hereby apply for the following Eicense(s) for the term of one year, beginning July 1, �� �, and ending June <br />30, ��_, in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Reauired <br />Cigar�tte/Tobacco Products <br />F e.e <br />$100.00 <br />The undersigned applicant malces this application pursuant to all the laws of the State of Minnesota and regulation as <br />the Council of the City of Roseville may from time to time r.��.:r.be, ,n� I� �'a��l u� .�a �Ts��t � I'�+�. I$� <br />x.� <br />� <br />Signature � . ���i^� <br />. ��.- - - _ <br />Date � ._•,�.,�,_�_ <br />If completed license should be mailed somewhere other than the business address, please advise. <br />