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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 />Gas Pumps - Private License Application _ <br />�_ <br />, � �- <br />'' ' �r f ' { � — <br />I� L�iI .IL�tiL ��I: I .L' �� �y I + 4� �� � 7 � � � I,' M1 � ; x���' ,5 I L'• I . . i I " - <br />I . ' ' ' +r _ .. 'f . - <br />I�LJY�Ik�55 �L���3� • � .' {� �-� � t It fl' ���� � i' �4 f�J�M1 } � � � 7�7 ��• '�• �� - <br />r' � � � + � <br />-i f <br />i _ �� f • i } � � �r7 � <br />I ii iyi rc'b� f I��7;tiv 1 r <br />- '. <br />E�nail address <br />Person to Contact dh Regard to Barsiness License: ._ <br />� :'i Y" •7 �� i <br />Name _ .c,_� . r. � �� k' � � } �� - � � <br />.��. . -- . � y . .. ~� <br />/ .r �� 2J �l� t <br />Address � 4 � �'f�..� � '� �• ,�i-� ,� � , _ �.r .� � � �� f ���t'� � - � • — <br />'� --r •-- .... _. <br />� <br />�� � � � � �• ?—� � ~ ' � .� � ��f • - --- <br />�_:n.� _ <br />I her�,hv annly for the following license{s} for the St;lri of one year, beginning July 1, f�� �` �7 , and ending June <br />i�; �'�—�• •_'• _ , in the City of Roseville, County of Ra��tsey, State of Minnesota. _ <br />License Reauired <br />Gas Pumps - Private <br />Fee <br />$60.00 _ <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 ���ay from iime to titne prescrib�, including Min� esota Statue #176,182, _ <br />:_r� _ _ <br />�gn;�tur� :�_� ;_, � . �--, _ _ <br />��'�� �..�_ - <br />��h�G � ;� • C.� '� . •- <br />A fire inspectioa is requiret� before issuance of a license. Please call 651-792-7341 to set <br />If completed license should be �nailed somewhere other than the business address, please advise <br />_._—;7� ��� <br />� <br />� <br />an inspection. - <br />i <br />