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��� � <br />��� � � T �- - -_. � J <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651)792-7034 <br />Cigare�te/Tobacca Products License Application <br />Business Name (.f� � � � � � � � <br />Business Address � � ��.� ��" ��'��� � � ���_ � �.� <br />Business Phone �'� � Y f � . � �` � <br />Email Address _��`�fir j,G�'��f��-����r�1,4: � -� <br />P��sW�i �u Cur�;�•�; iri a�._�urr� ��ffC�i?�: <br />�-r I <br />T�atne ��I��-��� I% L I� 'i� �`�5 �, � <br />r�{�{�I't4} t � L_��I � � i 5��.#�lY ; �� �#+. �_t1� [��i��.�l r+ � �� �'� � <br />�'��ti:,t � ��� r� �� ���� ' ��'�� � <br />I her� �� far the following license(s) far the term of one year, beginning July 1, ��'���, and ending June <br />3�, _�;��—, in the Ciry of RoseviEle, Counry of Ramsey, State of Minnesota. <br />License Required PPe <br />Cigarette/Tobacco 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 Ian�e �r. �� ��n�3udi�� •�.�i,�_��•:t�':� Statue #17b.132. <br />Si�ai>��_ � .,� y�� � �. _ <br />� <br />Date <br />If completed license should be mailed somewhere other t�a�ht�business address, please advise. <br />