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���� � <br />�.►__ � , T , � � � <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651) 792-7034 <br />Gasoline Station License Application <br />� � '� � Y � r-� ' ' <br />� � y� r <br />� G�xi�rt�y AI91ii2 �� � � � ���4�' � � T �� �'��,� �' I �� •�_ <br />_ �_ ' <br />T5 1 � <br />I FIJ7:I:Iw�'G r 5y�t���d.v.`� �. � i.� �. � � .�. <br />Business Phone <br />L�mai1 Address <br />�'er�rur ti� i'+�mtaacr rr� r�e� dra }�ufiirlihr f. <br />��in•= �'irl�+--� <br />Address <br />Phone _ _ <br />� �_%—;_ <br />� <br />� <br />�� ����••'� —••-- <br />I hereby apply for the following iicense(s) for the term of one year, beginning July 1, ��� , and <br />ending June 30, Z•!�'�� , in the Ciry of Roseville, Counry of Ramsey, State of Minnesota. <br />License Required <br />Gasoline Station <br />Fee <br />$130.00 <br />The undersigned applicant makes this application pursuant to all the laws of the State of Minnesota and <br />regulation as the Council of the Ciry of Roseville may froin time 1� �i�iti�� ��w�:.=, ����i �ir�y �ji �:- •�t,i� �;�;ai��- <br />� <br />#176.1$2. �--- �� � � <br />1� � <br />Signature L <br />Date .. . � � � � �!?..� _. .. - - - --• • -- <br />A fire inspection is required before issuance of a license. Please ca11651-792-7341 to set up an <br />inspection. <br />If completed license should be mailed somewhere other than the business address, please advise. <br />