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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 />Amusement Device License Application <br />susiness N��ne _ Dandy Amusements Int'{, Inc. <br />r������.,,�� , 2265 Ward Avenue, Suite C <br />'��'�''�`� —Si��� Valley, CA 93065 <br />Business Phone __r=�tir ���'�{ �,fio.r•�} � �'�'�� <br />Email Address <br />Person io Contacl in Regard to Business License: <br />Name �'�l�{ = <br />Address <br />Phone �-:�' 1�'s ¢} ���; ��(�]�� <br />I hereby apply for the following lic�nse(s} for the term of one year, beginning July I, , and <br />ending .�uiie 30, , in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Required <br />Aniuseinent Device <br />Eee <br />$15.00 <br />(per machine} <br />uantit 'l�ola9 <br />�'2 i �� � ti �' <br />Tlle u�idersigi�ed applicant makes this application p�rsuaiit to all the laws of the State of Minnesota and <br />regulation as the Council of the City of Roseville ntay fro�n time to tin�e prescribe, including Minnesota Statue <br />= J 76.182. <br />� f i �• � �� <br />r <br />� It'1�rl1fL' '�2,.. t ,. ���� <br />� --•. <br />Date �� °(;`t� • �!:i <br />A fire Inspection is required before issuance of a license. Please call 651-792-7341 to set up an <br />inspection. <br />If completed license should be �naited somewhere other i��an the business address, please advise. <br />� <br />I <br />