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���'� <br />���� � <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651) 792-7034 <br />Cigarette/'�''obacca Products License Application <br />Business Name <br />Business Address _ _�I�p���'�j��yj ��g�,�.�J'�G��'�a �i �. ���'� _ . <br />Business Phone 1 ��� ���G��� ���+ ��}�.����� _ <br />-� ��'"� � = T <br />Email Address <br />Person to Contact in Regard to Business License: <br />�� [� . � � <br />Name ..����4.,J i ' b:.k <br />.'i�y7fC�$ ���4�i�4Gi �[r� �ti���l�. f������ .'�.���Pi <br />I'I�i,n� �p�~1 � �`� �'� � ��� "� <br />I hereby apply for the following license(s) for the term of one year, beginning July 1, _d�� , and ending June <br />30, �� in the City of Roseville, County of Ramsey, State of Miilncsota. <br />License Required F�.e <br />Cigare�e/Tobacca Products $100.00 <br />The undersigned applicant makes this application pursuant t� $I] [.h� I � ti�r :151� S1�y�� ;�t �] i�+nra�Ka ��d •�I� iion os <br />the Council of the City of Roseville may from time to time �r�s�.rA� pc I�t�' �L ��i ����}� �� � �;�� .��: <br />Signature , _ , _ - �/��;����. . <br />r <br />i � � <br />]]a7r � � { —� .- - <br />If completed license should be mailed somewhere other than the business address, please advise. <br />