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� ������ <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651) 792-7034 <br />Theater License Application <br />Busine�s N�rn� � ��1 � yti �� � ��� . � ' <br />Btisin�as Acld�ess _��� _ - ���1'1 � � � f ��� *' �'�# ��� <br />Bu�in�as Fhon� � �4�.. �.��'�.'�t � <br />i� <br />Emai! A�dress <br />_ � <br />Person to Contact '� Regard Business License: <br />Name ��� ���� � f� ���� 5..� w G� <br />� . .� <br />!� <br />Address � � � h�C�� � 4� � �� �k��.�.. �� ��� � <br />1�hane _.����� '�1 .�__�." � �� <br />T S�er�b b� rl ftit r the fol�owing �zcen�e(s) for the term of one year, beginning July 1, ����Q , and ending June <br />3q, �. in the Ciry of ftose�+ille, Counry of Ramsey, State of Minnesota. <br />License Required <br />Theater <br />F e.e <br />$70.00 <br />��{I S:�afM1� <br />�u��Nii�• � Ti�T�i� , <br />�.. <br />��� <br />The undersigned applicant makes this application ptusu3ul :n h:E ' �i�r3 �Fif�r �I�i° ai'�'�+fnm���ln ��� i e��=aEiti�E°� <br />the Couneil of tihe City of Roseville may from 1�rn� ic. �i;riu fv ;,�. .,:�_�'•�.clin �� nc��is Ska�it � 1'�i I R7 �a <br />� y Ti�� i"L`i�e�w7iVilJ�lRca <br />Signatu � ��`r - %"Jf �1C:��l�NYA�4�" <br />��� � � � 865-925-9630 <br />Date <br />A fire ins�ection is rec�uired before issuance of a license. Please ca11651-792-7341 to set u� an ins�ection. <br />If completed license should be mailed soinewhere other than the business address, please advise. <br />