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�� <br />��M <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651) 792-7034 <br />Amusement Device License Application <br />. r' <br />Business Name r�1i�, ti��A��,�,���`���,�, f�'��';�� �~ ��.��'- <br />��-ir� .., <br />� • .? . <br />Business Address ..�+ � ���� ����_ .� � ,�;��Y��f�: - ��. • k�� +r'= r � ����.' <br />i�u5 i_7��s E'�141� -� � - �r � � - - �c�}� � <br />�rnai I �4�'�,'�es ���� f��l r��+ �.�+-�rur�, �,'•�'�r�2�:�•, <br />Per^so�t to Colztac�t iR Regar-c� to Business License: <br />_—�� � <br />r ff <br />�r�lt]e - � r'+'.� : F� �� _� !S'�- ,r4��:�'��`. 7'� .f1t rF � <br />. : � • �Fii.� �. � _o-�"} ,r i�f i:�`�,�• .� �rr' 2_� . <br />Address � � ' �,�' f�"�'� ='��- �!' i A' I� • � � �����j �J <br />I'I.i�r!� r. =��%",�. -�.�*' ,�� ��6� <br />I hereby apply for the following �icense(s} for the term of one year, beginning July 1, r�'''��'� , and <br />ending .Tui1e 30, ,•s �' ��' , in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Required �, �� T��al <br />Am�isement Device $15.00 ,�- ' _ ��f � �� �� � <br />(per machine) <br />The undersigned applicant malces this application pursuant to all the laws of the State of Minnesota and <br />regulation as the Coui�cil of the City of Roseville may from time to time prescribe, including Mim�esot�. Statue <br /># 176,182. <br />f• . � <br />�� y'+ r ��� <br />,t',LL�'rtidtu •cr�•��� ! r� C� ���# . ' .,l�:E•t'f�+r�.��c',*;. <br />� =� <br />]�IIC � �— _ ���} '� _ f - - <br />f <br />A fire Inspection is required before issuance of a license. Please call 651-792-7341 to set up an <br />inspection. <br />lf completed license should be mailed somewhere other than the business address; please advise <br />�`•• ? � f r'�,r"_ �fifif_ ���: x :��•✓. �:��� . �f�' : <br />��f��'x? �•'�� �� ��������+5''��•r��' . ��� - <br />� "� � •�1���"�� c�_ �' �' . <br />��`� �� � t�l� � - �{ �� . � �/ � � <br />� � <br />��{T��' �� • ���'���f�. <br />