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�� <br />4• <br />`"��� = --,� , ,... �_ � � <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651) 792-7034 <br />Game Room License Application <br />�i� I'LI I.L'ti£ �' , L� 7 �f �� +�+ 1 i � <br />il 17L �_I 5 V . __.. . „ - — <br />FSuKinCSS r���I�C��7� � + r�+�! �S <br />��--��..���- <br />� {..+ S� �C�� <br />I ii i�i r�kk PI'.',ilt �r � !..� �'% ' �I � - � �� - -• - <br />� � . . . 1 � <br />�a��ail Address <br />Pet-sort to Contact in Re,��rd to Btiszness License: <br />�–, <br />. ,, Y�• <br />�.�me �� �'r �rin• ff {� ,}�,a 4 � .� <br />+ � � <br />+4�fC55 � fy7 ? � � t' +•��� fll: Gi � l� �r- <br />� - � <br />:'�'.�}I:t f'.• �> J''{� r� r ff 1��. <br />I hereby apply far the following [iccnse(s} for the icrin of one year, beginning July 1, _=:' �`' �—, and <br />cnding June 30, _••.• �:� , iil the City of Roseville, County of Ra�»sey, State o f Minnesota. <br />License Required Fee <br />Game I�ooin $175.00 <br />The undersigned applicant tnakes this application pursuant to all ti�e laws of tlte State of Minnesota and <br />regulation as the Council o f the City of Roseville inay from time to tim� prescribe. including Minnesota Statue <br />" I � .. . � 1l i <br />•=��'7 ' • � <br />L � <br />£ I�'�IS11 �CC _ � _ _, •'�{' <br />Date <br />? ' ./�- CJ r <br />A fire insfleCtion is required before issuance on a license. Please call 651-792-7341 to set up an <br />inspection. <br />If eampleted license should be mailed soinewhare other than llte business address, please advise. <br />