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� <br />����� � <br />����.. <br />City of Roseville <br />�`��qance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55ll3 <br />(651)792-7034 <br />Ci�aret�e/7�oba�co Products License Application <br />Busines"s _��� <br />Business Address <br />Business Phone <br />Eraail Address <br />� ��� �, ' � f � <br />���� � �� `��� �_ ������ - <br />Person to Contact in Regard to Business License: <br />�. . ..� � � � � �*-�„p�! <br />� � <br />� ' <br />T� �� _r�l�'—��.t�� <br />A1•�:t�� .. K_ .. _ <br />Phone <br />I hereby apply far the following lice�se(s} far the term of one year, beginning July 1, ��'� {-a , and ending June <br />��', �_,� s�,� '� , in the City of Roseville, County of Rart�sey, State of Minnesota. <br />License Required <br />Cigarette/�'obacco Products <br />F�e <br />$100.00 <br />The undersigned applicant makes this application pursuant to all the laws of the State of Minnesota and regulat'ron as <br />the Council of the City of Roseville may from time to time prescr� i luduig �] ifl�c�..x� SWt� � G. J�: . <br />Signature ' 4 <br />Date _ � �+ _ �� _ <br />If completed license should he mailed somewhere other than the business address, please advise. <br />��� <br />.� <br />� <br />� <br />