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���� �` . � T <br />���_ � � �_ � <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651)792-7034 <br />Cigareite/To�acco Products License Application <br />t�',�Y-�r�vSs �;�rir. <br />��s�nGaa.A..d�s_ <br />�� �� �� �, ¢� ��� <br />� � � ��. ������� ���., <br />�LIRIfL�SS PI]DfYE '"'�.+_ �?�,�'1�...�� ���,.—_�y_„--.�-r.� . � <br />�_�Il�•I_ �5v'��:'�'a �2''�� <br />Person to Contact in Regard to Business License: <br />Name <br />,4dcLress <br />��i IUf�C <br />�� :';' � .� � <br />� �� `� �r.� ._. ���C'��f� ���^�� <br />�r� — �{�� � � �� <br />I hereby apply for the following licanse(s} for the term of one year, beginning July 1, ��' �� , and ending June <br />30, `� «4' - , in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Reauired <br />CigarettelTobacco Products <br />� <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 #176.I82. <br />Signature �����!:•. <br />Date _�• i � � ��'�� <br />If completed license should be mailed somewhere other than the business address, please advise. <br />