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City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651)792-7034 <br />�'aa1/BYllXards License Application <br />,, � : : �:�- � � <br />E3i�iS'�SS NBICIG �� � _ - ,�.� ��— ����� . - - - <br />r�usu_wf r�� liirt �� . --�! ,� r�,��� <br />Business Phone ��� =�..�� ��•��_�. ��C� <br />��ai1 Address <br />r',�r•�•��rr Fo {�on�97C�f �R �c�xr� lr� ��V3'I.'It'.5.5 L:c�e'FCsr. <br />�ar�r� <br />'ri4�f�'Sti <br />Phone <br />, - � — •�`�� <br />/ .� <br />�� - <br />� <br />I hereby apply for the following ]iaense(s) for the term of one year, beginning July I, , and ending June <br />3p, , in the City of Rosevilie, County of Ramsey, State of Minnesota. <br />License Required <br />�'aol/Billiards <br />F'ee <br />$70.00 (first table) <br />$20.00 (eacli additional table) <br />�aT�tii Tntal}��, <br />- � -- �� — <br />The undersigned applicant makes t�1is application pursuant to all the laws of the State of Minnesota and regulation as <br />the Cnu��cil of the City of Roseviile may from time to ta�ne „v�.:i int. i iA ill,' 117� T�f li �rit'•y{+�:� 41._i �t +; ]"� 1�t <br />_� �� - <br />Signature � <br />i 7.�.�t�. '� -- �� �� �� - — - - <br />_� . _ <br />A Are inspection is reyuired before issuance of a license. Please call 651-792-7341 to set up an inspection. <br />Sf completed liceuse should be mailed somewhere other than the business address, please advise. <br />