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�t��; ���� v�� <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651) 792-7034 <br />Theater License Application <br />���' �� ��� � �.. ��� �� �' fr �' �� ��� s <br />� <br />r��.��; nvx� .��i�i��� ,�� ,�i:.�, �_ �� � � � � � � �����.� �, � � /���� <br />Business T�fiunr � _�, �� { 6 d ��.- � � {�; � <br />r <br />E�nail Address <br />Person to C'ontacf in Regard to Bzrsiness License: <br />r f , � r <br />Name ��' � �-r� �.�_5�:.� ti•,'•• r���'.,f'�� �,� <br />�� � . <br />v. � ' F � • • f . . <br />� t� �'i'� . � _ f �� �F � � � � '� = • t �. �- � { � y� r <br />rk;;,�it��:� ,'r�c ti• -• _• . <br />Phone � l � ��� �-- �U v z <br />Z hereby apply for the following lice��se(s) for the terin of one year, beginning July 1, _�., r`G , and ending June <br />30, _� ��_, in the City of Roseville, County of Ra�nsey, State of Minnesota. <br />License Reauired <br />Theater <br />Eee <br />�; �, �.�}�7 <br />qxi Sr.+r-� <br />�"�� T�k�� <br />f �f � ��� �� i� <br />The undersigned applicant inakes this application pursuant to all the laws of the State of Mini�esota and regulation as <br />the Council of the City of Roseville znay fro�n time to tii�ie prescribe, including Minnesota Statue �176.1$2. <br />r� <br />� <br />signature �'7����� , , �� <br />r• <br />L�3� ���� ���• <br />A fire inspection is required before issuance of a license. Please calf 651-792-7341 to set up an inspection. <br />If completed license should be mailed somewhere other than the business address, please advise. <br />