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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 />C�gare�te/�'o�acca Products License Application <br />Business Name �__ � , � �_� � „ _ ,. _ .,, <br />Business Address ��� � � 4� _ t J I . ��� ��,�, �� �� � �� <br />.: �u�i;it•�sT'I!�C�: �.•��. ��� ��� ----- - <br />Email Address <br />Person to Contact in Ilegard� to Business License: <br />7k s�7c �,_. ����y� �� . . . <br />�� � .� . �k <br />I'• �� � T <br />r � ■ <br />Address —_.� . <br />Phone � � �..� � <br />I hercb� a, • ly for the following licerase(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 />Cigarett�/Tobacco Products $100.00 <br />The undersigned applicant makes this application pursuant to all the laws of the State of Minnesota and regulation as <br />the Council of the City of Roseville may from time to time prescribe, including Minnesota Statue #176.182. <br />Signature ���_ _�,� _ � _ � <br />Date .... �� � - �� . . —.. _. <br />If completed license should he mailed somewhere other than the business address, please advise. <br />