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� -� <br />�� <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Rosevil�e, MN 55113 <br />(651) 792-7034 <br />Gasoline Station License Application <br />r <br />�;liSl f,iC53 !ti�i!nL _ _ �{�.�_ r ���� �'�!�_'� {� ��—�. <br />F35i33re:�s .4�di�s _ f�+� �_�_— �,_ _ ��� ���'i I_L.���'" _ _'. _'� --- <br />Business Phone � .����_'� I � � � <br />Email Address <br />Person to Contact in Regaj^d to Business License: <br />����rJ��' _ � i � �'� <br />��rn� � <br />�.�-� � � . � 1���.��- � <br />Addrrss L .. . . _ � —_ - -----r <br />��YJllti , ����}�_y _ �_�.L� �_ � L� _"_____'___' _ _ _ ______ __ _ ' — _ _ <br />I hereby apply for he following license{s} for the term of one year, beginning July 1, ��� �_, and <br />--- ending June 30, -� �� in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Required Fee <br />Gasoline Station $130.00 <br />The undersigned applicant makes this application pursuant to all the laws of the State of Minnesota and <br />regulation as the Council of the City of Roseville may from time to time prescribe, including Minnesota Statue <br />#176.1$2. <br />�� 4 • n <br />Signature ��� �� �,���� ��� � �� <br />Date � �- �} ' � � <br />A fira. inCn�efinn is renuirer� before issuance of a license. Please call 651-792-7341 to set up an <br />..._._ -- --.. _. _. _ _----- <br />inspection. <br />If completed license should be mailed somewhere other than the business address, please advise, <br />