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��� � � <br />�.�w_ <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651)792-7032 <br />On-Sale 3.2 Malt Liquor License Application <br />Business Name _� � � � ' _ <br />� , � <br />Business Address � ���_. _. .. �.� '� �_ _. _ . <br />���tf�� . �� <br />Business Phone (r� �� — � �- T � �� �� <br />Person to Contact in Regard to Business License: <br />Name <br />� <br />f���'��f� �= ��� � �� r <br />� <br />Address <br />/� ..�. I' r <br />Phone �,ate of Bir�h <br />Drivers License NumbeE <br />Social Security Numbe� <br />U.S. Citizen Y �To Naturalized? Yes No <br />If yes, date and place: <br />/Vur�'� �v�' <br />T hereby apply for the following facense(s} for the term of one year, beginning J�n�ary 1, , and ending <br />December 31, ������ _ in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Required <br />On-Sale 3.2 Malt Liquor Beverage <br />EeE <br />$100.00 <br />r F � Y <br />The undersigned applicant malces this application pursuant to all the laws of the State of Minnesota and regulation as <br />the Council of the City of Roseville may from time to time prt.�� •_1�:, i,��Tud ii �� T�r� cstii$ �i�LU+e N 1��r.T 8�. <br />r t � <br />Signature � <br />Date �� � � � ��.— . . . �-- <br />If completed license should be mailed somewhere other than the business address, please advise. <br />�•:�r;�rr�cx� irsc aR�M. <br />r , r. y�r .��4�-� �,.,. <br />. .. ' • y..•. �i•ri'.�l' <br />.�+t'L'�I"� ir ��.�.M1kM1�.. <br />t... � . • <br />' „..�--.-..��", <br />��aa�1i1Y4Y Jd• �•• <br />