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��� -� <br />� <br />� <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651) 792-7034 <br />Ci�arette/Tobacca Products License Application <br />BusinessName t.�l:� i�ee�sf�?�+'�'.�+ <br />BusinessAddress 1739 N. Lexington Ave. <br />Business Phone 651/48$-1962 <br />Enaail Address <br />Person to Contact in Regard to Business License: <br />Name Gary Martin, Tax Mana�er <br />Address P.O. Bc� 901 Deerfield IL 60�15 <br />Phone 847/315-G413 <br />I hereby apply for the following license(s} for the term of one year, beginning July 1, �405 , and ending June <br />30, 2006 , in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Required Tee <br />Cigarette/'Tabacco Products $100.00 <br />The undersigned applicantmakes this applicationpursuantto 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 Mimlesota Statue #176.182. <br />Signature � �� '-`� �� `'� <br />Gary Martin, Tax Manager <br />Date ���5��ilf��, <br />If completed license should be mailed somewhere other than the business address, please advise. <br />