Laserfiche WebLink
�� '� <br />����. <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651) 792-7034 <br />Amusement Device License Application <br />Business Name � � �•�� <br />Business Address f��� �� ����+'F+'� ��f�', <br />Business Phone _�+`� �-��`�p- ��� <br />��raail Address � <br />Person to Cont'act in Regard to Business License: <br />� �,��� <br />j�ame � _��" .._-° � - <br />.�dJr�s� � � � `� �C� � f,�.'�..�`�.5� 1�G'� <br />����� ,_�?�„�,- � ��? - ���� . <br />I hereby apply for the following license(s) for the term of one year, beginning July 1, ��� , and <br />ending June 30, }� �'F , in the City of Roseville, Coutxty of Ramsey, State of Minnesota. <br />License Required Fee uantit Tn��+R <br />� <br />Amusement Device $15.00 � ��i '— <br />(per macliinc} <br />The undersigned applicant n7al<es this application pursuant to all the laws of the State of Minnesota �i'�� <br />regulation as the Council of the City of Roseville may from time to time prescribe, including Minnesota Statue <br />� I7C.182. <br />Signature � ����, <br />Date _�� <br />A fire Inspection is raqnired before issi�a��ce of a license. Please call 651-792-7341 to set up an <br />inspection. <br />If completed license should be mailed somewhere other than the business address, please advise. <br />