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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 />�-. �� <br />' � � � •� L � —�.� r � <br />r�usi.�cs� r�<,n_c �k������' ' � { ' � �� r X� <br />� � .�. . • - -- <br />�usin�ss Addr�ss _ .+�1�f�t�� .��k°� �� _ �� —�������~ <br />Rusincs� ��orit� _�:��5. ��— --- � ��� �r �� .... ....._ ... — <br />E►riail Address <br />Person to Contact in �e�cr�-d to Business License: <br />r � J � � ��--���' � <br />Tfa�n;. 'L �— <br />, - .,,,, . . . � -- � . <br />}��ess _.. � L - ��f �_• i �".• _�� �r�._ , � 1 F � .. _�� <br />-• •---...._.__.._.__ • • � <br />Phone � � _... ��'� � � �� <br />I hereby apply for the following license(s) for the term of one year, beginning July 1, ��� . and ending June <br />30, '� ��� , in the Ciry of Roseville, Counry of Ramsey, State of Minnesota. <br />License Required <br />Theater <br />Fcfi <br />$70.00 <br />(per screen) <br />�antzt Total <br />��-- . . . �� -� ;� .� <br />� � r <br />The undersigned applicant tnalces this application pursuant to all the laws of the State of Minnesota and regulation as <br />the Council of the Ciry of Roseville may from time to lime prescribe, including Minnesota Statue #176.1$2. <br />Signature ������ � I • -'�`�� � <br />_� y_ _. <br />Date ����# f �� -----. . <br />A fire inspection is required before issuance of a license. Please call 651-792-7341 to set �p an inspection. <br />If completed license should be mailed somewhere other than the business address, please advise <br />