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� �.. , � . � � � � <br />� <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651) 792-7034 <br />Amusement Device License Application <br />r <br />., {� , <br />�W��� ,� �,� ��'��.� � � i�'� � �. ���'J�r ��� �1�= � ��' i ��� �_T- <br />� ���� , � <br />��w��,$�� r����$� <br />r�t���,��s� r����_{ <br />�n�a�l Address <br />������ <br />�''tr�c�r� t� �M�rr��r ��; �r�r�Frf r� �L�,��,Wa��� �r�����ax� <br />� � . <br />rr�� � �,���,i f 1 " ��� -��'�F` � �� I ��� ��� <br />�� <br />�� ���. __.�_._._�__ ����` -��..�.]� . - � . . <br />. ...� <br />I hereby apply for the following lieense(s} for the tenn of one year, beginning July 1, ���'�- , and <br />ending June 30, }f�#��_�� in the City of Roseville, County of Raz�sey, State of Minnesota. <br />License Required Eee nua�titv T�fal <br />Amusement Device $15.00 �.� ......__. .��.� � <br />.=�cr machsne) <br />The undersigned applicant makes this application pursuant to all the laws of the State of Minnesota and <br />regulation as t1�e Council of the City of Ttoseville may from iune to time prescribe, including Minnesota Statue <br />#� 76. �82. <br />Si��tait�re _ <br />� ---- --- � <br />� �� � � <br />Date _ ��-.�._ �� �'4.'[= ' -- �—�— - - <br />A fire Inspection is required before issuance of a license. Please ca11651-792-7341 to set up an <br />inspection. <br />�#' completed Iicei�se should be mailed somewhere other �haz�► the business address, please advise, <br />L <br />� �l�'�:� �� �1 �,�� r�-�•����� ��'�� � �_ �� � ��� ��r� 1-�t�t� �� � <br />