Laserfiche WebLink
�� <br />4r <br />. ��� � <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651)792-7034 <br />CigarettelTobacca Products License Application <br />� <br />; <br />Business Name 7�;��� ,� {% ��� �- � rt- � �- -_ <br />, ,. — <br />F3�x�r,es� ��r��s <br />F��}�� � y��s����J � I � ��_� • <br />, <br />lbu��i�c�� I'I�:rve I�'� �—�f � I-- r��• ��•—}-•-•— <br />�rnail Address <br />Person to Contact in Regard to �3usiness License; <br />�� � � � 5 p _ I <br />Name ��.I� �I'4. � i 'I L-'�k 'Cr:�• : <br />� � �� 7 � � . ,�.� � <br />Address � �..� , � � ��Ir�.•��� , , �. � � �� �.i <br />- � -, �� ,.- — � <br />Phone _ ' <br />I hereby fy for the following �ice�se(s) for the term of one year, beginning July I, �� �, and ending June <br />3�� '�' ��� , in the City of �tosevilJe, County of Ramsey, Sta�e of Minnesota. <br />License Required <br />Gi�arette/'i'obacco Products $100.00 <br />The undersigned applicant malces this application pursuant to all the laws of the State of Minnesota and regulation as <br />the Council of the City of Roseville may from time to time presci•_1�:. =i��; i��. �finne��tiA . lai:�r. �'I °�.I �:`_. <br />Signature <br />Y��'�• f� ' �_{� (! �r: <br />If completed license should be mailed somewhere other than the business address, please advise. <br />