Laserfiche WebLink
Business Name <br />Business Address <br />Business Phone <br />Emai� Address <br />���� � � <br />��• � <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55ll3 <br />(651) 792-7034 <br />Amusement Device License Application <br />/� fJ.�� fJr // '� L.: �'�'Ll� � � �i� <br />� � ,.c.. " �....� . ������ �� -- - — <br />� <br />_ �',�.�.���� �� ,�S�r� �� ����� <br />Persorr to Corrtact irr Regm�d to Busirress Licerrse: <br />Name F��.�� r��c� �--�-���.-�� <br />Address <br />7 7 7 � � -T .ir �� <br />Phone — <br />I hereby apply for the following license{s) for the term of one year, beginning July 1, _� ���, and <br />ending June 30, -� �6 in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Required Fc� uaa�ti :rolal <br />Amusement Device $15.00 � _ _� � �� <br />(per n�act�isie} <br />The undersigned applicant malces this application pursuant to all the laws of the State of Minnesota and <br />regulation as the Council of the City of Roseville may from time to time prescribe, including Minnesota Statuc <br />#�7G.182. ' � <br />�� ��� <br />�iur_s!i�� __ � — <br />Ik:IL �' � � T �� <br />A fire Inspectian is required before issuance of a license. Please call 651-792-7341 to set up sn <br />inspection. <br />If completed license should be mailed somewhere other than the business address, please advise <br />