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2005_0411_Packet
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2005_0411_Packet
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5/12/2014 11:47:05 AM
Creation date
9/14/2009 10:00:40 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 />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651) 792-7034 <br />�igarettelTobacca Products License Application <br />{ _ <br />BusinessName ������'_�.ri `��r���i � - �.'.�{; ,,,. <br />-� .{ � 1 � <br />Business Address ��h _� �� •' � ; �- � �-u`��� �'rf � I � <br />� <br />Business Phone ;,� ! � – r �_ ,a, �� ° r r� �,+_��� <br />J .� J y ' <br />r.'II.�.I :�LL���r"i� _ _ r _�I � �.� �..f7 U. �r i �. �/� + �t, r � <br />} � � i� <br />� <br />1'efson to Contact in Regard �� Business License: <br />, � L <br />7 � <br />�trne � � � � �.i,�, � � �-��rir� <br />, ' <br />�.1d�E4$ _ ` � I � �IJ ��`.� i t� � � � r � Ir 4�1+�1�� 1{i , }� I � ;4. � , �J +r� � i �1..� <br />i <br />1��:!51:': _ }�S I L� L 'I �. r5 M17 - ��i*�-� r .�.. <br />_ {' 4 <br />� <br />I hereb a 1 for the followin license s for the tenn of one ear, be mnin Jul 1, ��;; �:'� '=' arid endin June <br />Y AA.Y g (} Y g� g Y �—, g <br />30, ''• E��} �, in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Reauired Eee <br />Cigarette/Tohacco Products $100.00 <br />The undersigned applicant makes 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 pres�,�!�, G���];ic1:r,� ��i���o� g.��� ?�=°�_I �;_ <br />_ ,� . <br />,f�f ' '�., r _f .;'.':, <br />Signature ' � ' • � � � � � � <br />� ���� ��� . <br />Date tr � �`' � <br />If completed license sliould be mailed somewhere other than the business address, please advise. <br />� , � r <br />�+-��i:� �„ t��: �?;il'. <br />�� ���4 .� r� �� r � �+ ,� � 4� �y <br />� <br />
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