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-� <br />� <br />����. <br />City of Roseviile <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, N N 55113 <br />(651) 792-7034 <br />C�garettelTabacco Products License Application <br />Business Name �� f � � Y5 `ti � � � � � <br />Business Address ���� � ��lf � . � <br />Business Phone � �� - l� ��r - � 3� � <br />�azza7l Address <br />Person to Contact in Regard to Business License: <br />Name <br />Igreer� �aste� �ta� #� <br />�,?�re.�} � s#��. ����' ����� . T�c De artment M81435 <br />, . �..4C �1�G ^��3�? l i�i 104 ! �ilf1 <br />Phone P��i3� ���� � De�field, fL 60t)15 <br />I hereby apply for the following lacense(s) for the tern� of ons year, beginning July I, ��� , and ending June <br />30, ��Q "7 , in the Ciry of Roseville, Counry of Ramsey, State of Minnesota. <br />License Required F�e <br />Cigarette/'�obacco 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 Ciry of Roseville may from time to time prescribe, including Minnasota Statue #178.182. <br />FJf��� K�ILtm. , ����� . ,�� .�, ; <br />,assl��t ge�.�':" '—. <br />Date _, � - �,Y_2 � 2�i� <br />If completed license should be mailed somewhere other than the business address, please advise. <br />