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BusinessName <br />Business Address <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55ll3 <br />(651)792-7034 <br />PoallBilliards License Application <br />� � � �� �-�- <br />� <br />�� �� a��� � <br />Business Phone � � �- � r-�-�--� -� (���%_�-- <br />Email Address <br />Person to Contact in Regard to Business License: <br />Name <br />Address <br />Phone <br />��� <br />����r�� , ���, <br />I hereby apply far the following license(s} far the term of one year, beginning July 1, , and ending June <br />34, , in the City of Roser�ille, County of Ramsey, State of Minnesota. <br />License Required <br />PoollBilIiards <br />Ee� <br />e <br />$70.00 (first table} <br />� <br />uantit <br />Ta�al <br />7� <br />$20.00 (each additional table) � I ;�-�f <br />- !�j G <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 prescribe, including Minnesota Statue #�176.1$2. <br />� ' F <br />Signature ��� �� � <br />raa�c � � �� _ ��_ t <br />A fire inspection is repuired before issuance of a license. Please call 651-792-7341 to set up an insRection. <br />If completed license should be mailed somewhere other than the business address, please advise. <br />