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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 />C�gare�te/Tobacco Products License Application <br />���s�,��� ���,�� . � �. . �� :��� -- -� �}�` � � , <br />l�us3neas ,�ddreas ��..��.,���... f' � � ��. � .tt:srr_� .� � u . . N� t� � � E d � <br />fik�siness �I��ai�e ��, .���.�- ��,�f �� . <br />.. , — <br />Email Address <br />Person to Contact in Regard ta Business License: <br />r�� � �, _.���. �� �� � � � i� �`� ���{� <br />s — <br />r�;1d�� �'�� . #�{:� . `� �7 �.� <br />Phone �{� d � � I °~ � {yC}C=} <br />� <br />� <br />��, .k <br />� , � ���. �� �.�� <br />+4 M <br />,+5 y. <br />I hereby apply for the following tiaense(s) for the term of one year, beginning'�.�.��j �,�-c�o,� , and ending June <br />30, �.0 � , in the City of Roseville, County of Ramsey, State of Minnesota. J <br />License �eq_u_ired <br />Cigarette!'I'o6aceo Products <br />�ee <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 # 1 i6, � 82, <br />.7 <br />Signature � � <br />. - ����� <br />Date � ��. ..�t � <br />If completed license should he mailed somewhere other than the business address, please advise. <br />