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�� � <br />���t , <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651)792-7034 <br />Ci�aret�e/Tobacca Products License Application <br />�"�` • � r f - <br />Business Name __ ���''� .� �;• .� � � ti��_ �� ��'#�� � ' .,�} <br />� � <br />Business Address � �'� �� „��� ,_ ��, �.. .. _ _ __ <br />. �,+�'.�..�� ..� <br />Business Phone _� �� . . _ _._ _ _ __ <br />Email Address <br />/ <br />Person to Contact in Regard to T���siness License: <br />�:L��� _�._��F�,�������_���r?�"._ �����'����"�f��t � <br />�� ���- � <br />Address <br />C <br />Phone <br />—� <br />�. hereby apply for the following license(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 Required <br />Cigarette/Tohacco Products $100.00 <br />f�. <br />The undersigned applicant makes this application pursuant to wl'.�i�� laws of the Stat6 ��a� ��d r�d a� <br />the Council of the City of Roseville may from ii�ne to time ���ribrr including ��i i�,�x�i$ 5r�u:• � I?� L�"?,%� <br />� i�ry.i I�.i-r. �•��--"4^����� <br />r <br />Date . ���� <br />If completed license sho��ld be mailed somewhere other than the business address, please advise. <br />� <br />