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i `�� <br />��� �. <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651) 792-7034 <br />Cigarette/Tobacca Products License Application <br />Business Name �r��� �+�t {�:� � <br />Business Address � �� � ����� �#l�r �� F <br />Business Phone � ��— � ��P' 7.�� <br />E�nail Address ����7t} <br />Person lo Contact in Regard to Business License: <br />Name _��_��+�-� .� <br />ACICIYeSS I.7! � Li� r ��� �+� <br />Phone �i�/`��'�'"�� ��� <br />I hereby apply for the following license(s) for the ;�F.17 of one year, beginning July 1. �'�� , and ending June <br />30, _�+����_, in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Required F�.e <br />Cigarette/'I'obacco Products $100.00 <br />The undersigned applicant malces this application pursuant to all the laws of the Stale of Minnesota and regulation as <br />the Council of the City of Roseville may from time to time prescribe, including Minnesota Statue �17G.182. <br />Signature �{;� �� �. <br />Date ��� <br />If completed license sho��ld be mailed somewhere other than the business address, please advise. <br />