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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 />�igaret�e/Tobacca Products License Application <br />Business Name C�?al�reez�s�2002 <br />Business Address 1611 W. County Rd ."C" <br />Business Phone 651/636-9365 <br />Email Address <br />Person to Contact in Regard to Business License: <br />Name Gary Martin, Tax Manager <br />Address P.O. Box 901 Deerfield IL 60015 <br />Phone 847/315-4413 <br />I hereby apply for the following Iice�,se(s} for the term of one year, beginning July 1, 2 0 0 5 , and ending June <br />30, 2006 , in the City of Roseville, County of Ramsey, State of Mimlesota. <br />License Required <br />Cigarette/T`obacca Products $100.00 <br />The undersigned applicant makes this applicationpursuant to all the laws of the State of Mimlesota and regulation as <br />the Council of the City of Roseville may from time to time pre ribe, including Minnesota Statue #17{�.I$2. <br />Signature 1:� 1 VL� <br />Gary atin, Tax Manager <br />Date �l5/2Q05 <br />If completed license should be mailed somewhere other than the business address, please advise. <br />