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City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651)792-7034 <br />Poo�fB�li�aras License Application <br />Business Name ��'.?-;r�., �-�.�. <br />Business Address � �3 � �% �.rl 'xLa �Y�_r � ; , �� �, � tr�, <br />Business PIzo3�e <br />E���aii Address <br />�: s t- G'�+��-� �d � ��. <br />��F ����`- <br />Person :� Contact in Regru�d to Business Licerzse: <br />�'1:77C �ii- ff[$�.�f� <br />.�dd=: 55 � � t � �F� � � � fr�"�'K�'4' iS` i� t� <br />Pho�ze ��~f • �: � �: . r�• � v,� <br />I hereby apply for the following iicense(s} for i�ie term of one year, beginning July 1, t.��rp � , and ending June <br />30, 7:. f� �- , in the Ciry of Roseville, Counry of Ra��sey, State of Minnesota. <br />License Req�ireci <br />�'ooUBilliarcl� <br />F�e <br />$70.00 (first table) <br />$20.00 (each additional table) <br />uantit <br />� <br />��. <br />7��� � <br />��� Q c�z <br />� clC�s 4 C� <br />The undersigned appiicat�t males tltis application pursuant to all the laws of the State of Minnesota and regulation as <br />the Council of the Ciry of Roseville may from tii�e to ti�ne prescribe, including Mi:�t�csota Statue #I76.1$2. <br />� _ . r <br />�i�,i: �[i_i t f.� �. ���t _��•'��_ ", — . <br />alnle �,7������ _, .— <br />A fire inspection is required before issuance of a license. Please call 651-792-7341 to set up an inspection. <br />If completed license should be n�aited somewhere other than the business address, please advise. <br />