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��� y � � <br />��� k <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651) 792-7034 <br />CigarettelTobacco Products License Application <br />Business Name <br />Business Address <br />Business Phone <br />�mai1 Address <br />�,!-IIF�ti'� ,�4-��1��� I.z.0 dl�. ,��,'L`�J�.:�� �� 4502 <br />i�� 4�;�i' ; r.�.i��`f 1�:� 1 �� �'�T�r NN 55�,1�3 <br />651-633-3848 <br />Person ta Co�stact in Regard ;� Business License: <br />Name 7I�S ;,�?.�l�ti?•l� for �aP�1E� ..{'.t�'��}�I�� T� <br />Address <br />Phone <br />P.O. Ix�d� 15� L=�1r i�i'. �1R�,I'I�TJ�, �ID 45501 15�7 <br />937-�,3-f�'+73 <br />I hereby apply for the following Iicense(s) for the term of one year, beginning July 1, �� , and ending June <br />30, c�;J��a , in the City of Roseville, County of Ramsey, State of Mimlesota. <br />License Required <br />CigarettefTobacco Products <br />Fre <br />$100.00 <br />The undersigned applicant makes this applicationpursuant to all the laws of the State of Minnesota and regulation as <br />the Council of the City of Rosevi�le may from time to time prescribe, including Minnesota Statue #176.182. <br />f , <br />��a�_a���� ���� � �� ��s �i ���s� ���r��.r����� <br />r� � ����. <br />L}<7��: �L. _.. _. <br />If completed license should be mailed somewhere other ihan the business address, please advise. <br />SPEEDWAY SUPER AMERICA LLC <br />P.s. 7_y. _�:C� �-+����� '�'G� � <br />4PrIhF�f4E�G, C�d d55�uL <br />