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�4�� � <br />���� � <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 />.� <br />Business Name _ � '- � � �_ � �� � � <br />� f <br />� � I � � ,� � � r ��� � _ _� � ��•� .� �(� �r � r���� ��'��� � �F �� <br />li ��:i_7�� �tti; css _� r <br />Au�:i;�ss PLtio[�e �-� — �� � �� — .� _� � . . .— ------- <br />Emaii Address <br />Person to Contact in Regard to Business License: <br />. �.F ° � �,� ��- <br />� J:17L <br />Address :� � � � � � .�ti �_...._�3....� � `� '�� t� r � � � � � � �L� �, _� <br />�i�.w�.� �ra f � � '' �i � {� . ... � '� <br />,— <br />I hereby apply far the following license(��ar the Eern� of one year, beginning July 1, Z o o� , and <br />ending June 30, •�- ��' �, in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Reauired F�� <br />Gasoline Station ���O.��r <br />The undersigned applicant nialces this application pursuant to all the laws of the State of Minnesota and <br />regulation as the Council of the City of Roseville may from time to tiine prescribe, including Minnesota Statue <br />#176.182. <br />_ -- — i <br />Signature ` ' �' �•�. �,--fY L-� ���— <br />Date <br />A fire inspection is required before issuance of a license. Please call 651-792-7341 to set up an <br />inspection. <br />If completed license should be mailed somewhere other than the business address, please advise. <br />