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�� <br />�� <br />��r <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651) 792-7034 <br />Gasoline Station License Application <br />Business Name S�`�Q�k`�`�' �F�`�ti��l'`�'` I.T� d� ,�A�T+1't�'�'�1 �r` 4502 <br />Business Address �'� "� `� �� �� D� 1t�'TT_:�, NN 55113 <br />Business Phone f }`�������5 <br />����ai] Address <br />Person to ContctCt in Rega�^d tp Business License. <br />Name � �'��� �L�'���'� far ����11� � T'L�,"44L':�J �"� L:r <br />Address P•0. !}�; 1580 L��' r'�'I,'. S�D, �0 45501-1580 <br />Phone 937-8h3-C�,73 <br />I hereby apply for the following licez�se(s) for the term of one year, beginning July l, '��� , and <br />ending June 30, ��.�' , in the City of Roseville, County of Ramsey, State of Mimlesota. <br />License R�quired Fee <br />Gasoline Statiol3 $130.00 <br />The undersigned applicant makes tl�is application pursuant to all the laws of the State of Minnesota and <br />regulation as the Council of tlie City of Roseville may from time to time prescribe, including Minnesota Statue <br /># 176.1$2. <br />Signature, �olr�,�;� ���f"�-v��'��.�,�c�n�e Goo�d�na�or <br />� <br />DaiL 1����f ��� <br />A fire inspection is required before issuance of a license. Please ca11651-792-7341 to set t�p an <br />inspection. <br />If completed license s��ould be mailed son�ewlaere other than tlie business address, please advise <br />SPEEDWAY SUPER AMERICA (�LC <br />P,0 B�C 1580 � I L�'ik ����� r <br />SPRINGFIELD, 01� 45501 <br />