Laserfiche WebLink
Business Name <br />Business Address <br />Business Phone <br />Einail Address <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651)792-7034 <br />PooUBYl��ards License Application <br />�����.���.� <br />r � � � �� ���� W � �� , <br />���- ���� r��� <br />,��� � <br />Person to Contact in Regard to Business License: <br />r�:��,;� <br />Address <br />Phone <br />�� ��� �� <br />� ��'� �!. ��.z?�r� <br />�.� �� ��� ����� <br />I hereby apply for the following licettsE(s) for the term of one year, beginning July 1, ��� , and ending June <br />30, _� t•�_, in the Ciry of Roseville, Counry of Ramsey, State of Minnesota. <br />License Required <br />Poo1/�3illia�•ds <br />Fe� <br />$70.00 (�rst table) <br />$20.00 (each additional table) <br />uantit <br />� <br />�� <br />'�oi�l <br />�`7 � � <br />� a� � <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 f-w� r ti�ne to time prescribe, including Minnesota Statue #176.182. <br />Signature � ��'•�tr <br />I�&1� �"f'� <br />A fire inspection is required before issuance of a license. Please call 651-792-7341 to set ap an inspection. <br />If completed license sl�ould be mailed somewhere other than the business address, please advise <br />