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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 />Cigare�telTobacco Products License Application , <br />� <br />- . <br />, <br />�,-' �.• � ' <br />i��i_IC�:� ��i�C � t. 4. � CF 3�:.5'�] '�J�]�4� � <br />u'J5_I IL'K1 .�L�t�.t S_ � �_'r�f, � � � M1 � � �y ��5 � �� �� � +�� ' <br />'.r <br />Busuzess Phone � � + — �� -� — � f ��' ` � <br />Email Address � . _ �—��_' � .�•` � ,� � � • . <br />Person to Contactin Regard to BusinessLicense: <br />-� , <br />Name _ �; `� '; ', �� � �1 �, � <br />y , I •� <br />.1.��fC•�� _f� � r1 � L � �i �'��,��'� ,�i 1j � L rw , �''`, t }.�j C} �! 1 I •r' � 't_�`- --� 3 I �- � _ — <br />,� <br />Phone , — .r w � , <br />t <br />I hereby apply for the following iicense(s) for the term of one year, beginning July 1, • �' � , and ending June <br />30 •�� �� , in the City of Roseville, County of Ramsey, State of M i e s o t a. <br />, <br />License Required Eee <br />Cigarette/Tobacca 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 time prescribe, including Minnesota Statue ##176. f 82. <br />SityL7S�U: C_ k k� �b' �� : k. ti ti ti 7. i k l'+z; _� .. _. — <br />Date `i� ' j �,f � � <br />If completed license should be mailed somewhere other than the business address, please advise. <br />� <br />