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� <br />. �� 1 � <br />��. <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Koseville, MN 55113 <br />(651) 792-7034 <br />Cigarette/Tobacca Products License Application <br />Business Natne �� ���� � f �i'�� � �� � �� ��� l� � ,jl��+ � <br />7 <br />Business Address _ _�/� j���r ��_ ��, r{ • i ' f-� .Y��;y f�� ��=� �� � <br />BusinessPhoi�e �.� � _ � 'y �_.r�_� �� � <br />.. � � <br />Email Address _ , , <br />Person to Contact in Regard to Business License: <br />_,.,. .� �r <br />Name . — <br />i� <br />_ " r � .+ <br />Address . <br />Phone _ __ <br />I hereby apply for the following license(s� for the tez��. of one year, beginning July .,� =''� � , and �t�ding June <br />30,��..��, a: tl�e City of Roseville, County of Ramsey, State of Miruiesota. <br />License Required Rct <br />Cigarette/Tobacco Products $100.00 <br />The undersigned applicant inakes this application pursuant to all the laws of tlie State of Minnesota and regulation as <br />the Council of the City of Roseville may from time to time prescr�t, inc�ltiyiin� ]�i i�,v�; �tatue #176.182. <br />f <br />Signature � �' f �� _ <br />� f � <br />I �7�.- , � f.� ,�� {�` <br />If completed license should be mailed somewhere Ut11er than the busines� address, please advise. <br />