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���� � - . _ . .. <br />�_ <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN SSll3 <br />(651)792-7034 <br />C�garette/Tobacco Products License Application <br />]3�siness TVarn� ����`���� .. � .�i� _�_..� � - �� `� _. _ <br />f;u�i�yex5 �ydtl�e��. �� L, Iif�'—�`-'���. �� � � ���.`�r�V"ll�� �-?! � � ._ <br />Business Phone _� �� •�.. � �`� <br />� - � <br />Emaii Address <br />� <br />Person to Contact in Regard to Business License: <br />,t"15 _ . �r r. . n <br />Name ` <br />_ � �. � n . .. �� -, , - <br />Address <br />- - y � <br />Phone _ _ , . v . <br />I hereby apply for the following ]acense(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 />T�icense Required Fee <br />Cigarette/'�'obacco Products $100.00 <br />The undersigned applicant makes this application pursuant to all the laws of the State of Minnesota and regularion as <br />the Council of the City of Roseville may from time to time prescribe, including Minnesota Statue #i76.1$2. <br />Signature � � . �� �r� <br />I�1� ' - � � --� �� <br />If completed license should he mailed somewhere other than the business address, please advise. <br />