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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 />Game Room License Application <br />� �'� <br />BusinessName � . ��1����L:��- I� I�fi��� ��_�1_�� .�(��� _ ., _, . _. ._ <br />,� <br />. � �� � � � � � <br />Business Address � y <br />{- --� . <br />� �r� <br />Business Phone , �� �, � � "� <br />Emai1 Address <br />Person to Contact in Regard to Business License.• <br />� _ . <br />Name �-� .�f � ti � ��ti������'�. �-�'� � k���'I �'', � ' <br />�_.._.�: i.. ' r, ��',�'] . d�ir�.1� <br />� �, <br />Address c� �._._��'_.�'� r�� �'.- � �:4�. ��.�1�•Ik ��� �`��� <br />y,� • „ �� �. V <br />Phone - +� ` � � ���?�-a � � <br />� lf�reby applv fo� the following ���e�se(s) �'o� the te�c of one year, beginning July 1, �'����=� , and <br />ending Ju:��►e a U, ��,���_, i�t the City of Roseville, Coun� of ka�sey, State of Minnesota. <br />License Re.���red R�r. <br />Game Room � I '�� �� <br />The undersigned applicant makes this application pursuant to all the laws of the State of Minnesota and <br />:regulat'ron as the Council of the City of �asevzlle �av from iiir.� to tina�; p�escribe. including Mi���esota Statue <br />�1 :+E� 19? <br />Signature � _ <br />� <br />/} <br />Date r <br />� ` � - � �` - -�-- <br />A fire inspection is reauired before issuance on a license. Please call 651-792-7341 to set up an <br />inspection. <br />If completed Iicense should be mailed somewhere other than i�re business address, please advise <br />