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City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651) 792-7034 <br />Theater License Application �,���,�� � <br />� <br />Business Name �� � � <br />Business Address ��.�� ��. ���p _ � ` � ���. ���� o � ����`. .�� � <br />� <br />Business Pho�ie �65� _ � 3I �� ��•�� <br />Email Address <br />Person to Contact in Regard ta �usiness License: <br />Name L� <br />Address <br />Phone <br />`� V <br />�� .�J2 `'��1�_� ���Ir,,,�-�� <br />�,..._ <br />� �� _����� <br />1 hereby apply far the following lice�3se(s} far the ierni of one year, begin��ing July 1, .��'� �_, and ending ,Tune <br />30, ��'� �_, iiz the City of Roseville, County of Ramsey, State of Minnesota. <br />License Required <br />Theater <br />Eee <br />$70.00 <br />(per screen) <br />uantit ��i�� <br />—� -- _�} .� <br />Tl-�e undersigned applicant makes tl�i� application pursuant to all the laws of the State of Mimlesota and regulation as <br />tEie Council of the City of Roseville may from time to time prescribe, i i�" i�i k� �ri i: ri�>w•.;i � i,_i; �; �� I�.''•.: �t. <br />� � � �i ir� �r���rr <br />Signature . .. _ <br />T�x-�e�tF�ItE.. <br />8�5�9�5���4 <br />Date ��� _. <br />A fire inspection is required before issuance of a Iicense. Please call 651-792-7341 to set up an inspection. <br />If completed liceiase should be mailed somewhere other fhan the business address, please advise. <br />