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2005_0110_Packet
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2005_0110_Packet
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5/12/2014 10:10:45 AM
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9/14/2009 9:58:58 AM
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Roseville City Council
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Council Agenda/Packets
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�� <br />��� <br />City of Roseville <br />T'in�nce Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651) 792-7032 <br />Cigarette/Tobacco Products License Application <br />� ��y� 1~1 �� �� � i r� . <br />f +�Yy { <br />?� ��;� ��eis N�i,i�. �l _� _�k_� � � L �� � , -� � � � Y�� �'�� r 7�� 41 ��} � ����� �F �� ���+�.�: <br />� f <br />f3u��1��5 .�dch�5s _ .� ��-.� r� r�l •� ��r'' i �'+� •-- - <br />�� �� ,� ���� �� � �-�-�� .� <br />a���� rn��,� <br />�� �" �� ��� - ,��� �� ,. <br />�'�s�, r� �'�r,rr��r ira �� � r� �:�+r���sF �i��re, <br />r� � � <br />., � <br />�,a �'S� r .� :. �'� �'� � • {• �`� ;, , <br />m <br />Address <br />Phoue <br />I hereby apply for the following license(s) for tlie te�-ni of one year, beginning July l, ��`� -� , and ending June <br />30, �-�'� '� �, in �I;� City of Roseville, County of ltamsey, State of Minnesota. <br />License Reauired Eee <br />Cigarette/Tobacco Products S�D�,�{I ��t}. °�� �� � �' � � •F- � <br />TIL� undersigned applicant makes tliis application purs.ltant to all the�laws of d� State of Minnesota and regulation as <br />thc Council oftlie City of Roseville irx�}' from tim�c to time prescribe, Er,�Lud:r_g�]'����� '� ��� �17G.182. <br />�.�-�x��'' -- — <br />Signature ��� r <br />Date � � � . <br />If completed license should be mai(ed some�vl�ere other tha�a the business ndtlress, pleas-advise. <br />
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