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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 />Cigarette/Tobacco Products License Application <br />_ � �� � �" '� �` <br />Business Name _ �'"} ' � � � � r � � �� + <br />l � � � �� <br />I �i_SIiL�SS ��i e.ss _� � � � � � � �r � �� �� �� � u' � ��'. I�� + ? � -� �` "i � I � � � <br />Business Phone <br />Emai1 Address <br />�,���- �l h�- �� �� �� <br />ti, v <br />Person to Contact in Regard to Business License: <br />rr <br />Name � �� E�IX_�� �.� �� !f -'. <br />Address �- � � � t . �� � �� �_���� [����` ;' �? � <br />�'�7f�i74 �? 7� 2 - �r � � � � � � � <br />� <br />�`'� � � � � � � � <br />I hereby apply for the following iicense(s) for the term of one year, beginning July 1, �� �' � i7d ending June <br />30, ��� �, in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Reauired <br />Cigarette/Tobacco Products <br />FPe <br />$100.00 <br />The undersigned applicant makes this application pursuant to 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 Minnesota Statue #175.182. <br />Signature � ���'�� �� ' ��'� F� � <br />Date <br />If completed license should be mailed somewhere other than the business address, please advise. <br />