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2005_0425_Packet
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2005_0425_Packet
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Last modified
5/12/2014 12:06:48 PM
Creation date
9/14/2009 10:01:42 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 />Cigareitel�`obacco Products License Application <br />� � f� � <br />f <br />?�:;i7�{s'��.i��: ��i .� �, .a �� _� <br />Business Address <br />Business Phone <br />- ��� �.._. ���� ������r <br />����� . ���� � . r�� ����� <br />� ������ ���� .������ �,� <br />. . ,' . ���� ���� �� 4� �f � .. — <br />�a��ail Address �u ���}� � ���}���� ��� �:_���#'�. . ������-��r �� . + <br />1 y <br />J <br />�~ ... _- ..._.� ���_��� : �l� <br />�. _.. <br />Person �•i Confacfin lZegar�" to Business License: <br />,-- �� f <br />F; lrr ^ ,'' ����,F ������ � f � <br />... s , �. _ r,n , r � , ... � <br />Address . . . � _ _ _ . _. _ <br />Phone <br />r� f. r <br />I hereby apply for the following license(s) for the ternl of one year, beginning July T, _�'�.��� , and ending June <br />30, �=1�` '�•7 , in the Ciry of Roseville, Counry of Ramsey, State of Minnesota. <br />License Reauired <br />Cigarct#e/To6acco Products $100.00 <br />The undersigned applicant makes this application pursuant to all the laws of the State of Minnesota and regulation as <br />�i:�Y Council of the Ciry of Roseville may from time to time �.-y�;,:r��r.,ri, i�l �li �: N. �rn��� �<� �,:i:�� t' I?�.1 ¢�. <br />�� ��- '� , -f <br />Signature '. — '� —"` <br />A�;�14 ��-r:�r.� � f - <br />r <br />I�ompleted license shouid be mailed somewhere other than the business address, please advise. <br />
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