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2006_0522_Packet
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2006_0522_Packet
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� <br />� ��� <br />I��� � � <br />� <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55ll3 <br />(651) 792-7034 <br />Gasoline Station License Application <br />Business Name <br />� <br />Business Address � �z}!� � ��l � ,' ��� ��; y � �� _���� , �.� t � �� <br />-�—.� <br />Business Phone �-� �� ��,�,� �� C? � <br />Ernail Address � � � <br />�:�— <br />Person to Contact in Regard to Business License: <br />i � <br />�i.i mr _ _ � ���:�_ �,,.�r.4fi� �.�ff.. <br />�a�T��� <br />1'I,im�e <br />� � � <br />.:�i � - �.� � �.�� r:� �t.� _. . --� <br />I hereby apply for the following license(s) for the term of one year, beginning July 1, ��—, and <br />ending June 30, ��v�; ��_, in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Required <br />Gasoline Station <br />Fee <br />$130.00 <br />The undersigned applicant malces this application pursuant to all the laws of the State of Minnesota and <br />regulation as the Council of the City of Roseville may frorn time to time prescribe, including Minnesota Statue <br />RJ^6 I �li <br />f' <br />Signature _ ' �' ' i � <br />Date � � .�i <br />�- — -- • <br />A fire inspection is required before issuance of a license. Please call 651-792-7341 to set up an <br />inspection. <br />If completed license should be mailed somewhere other than the business address, please advise. <br />�` �� ��� �� ���, ���.��- <br />
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