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���� ''� � <br />��►. � ,' � ,� � �_ � <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 5511� <br />(651)792-7034 <br />Cigarette/Tobacca Products License Application <br />Business Name <br />Business Address <br />Business Phone <br />Ennail Address <br />����_#��� <br />�� �. � ' <br />. .� <br />�� ["7��J '��� <br />� <br />Person to Contact in Regard to Business License: <br />r <br />� <br />Name . �. � . ��� � . � �� R <br />Address .��� ��� �J � �� ��7� `.�����r�i_ _ <br />Phone ���-��� . . _ _ . <br />I.icrt�y �;L�: �'M far the following license(s} far the term of one year, beginning July 1, ��_, and ending June <br />��, �, in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Required <br />Cigarette/Tobacco Products <br />Fef <br />$100.00 <br />The undersigned applicant makes this application pursuant to all th �f �� State of Mipnesota and regulation as <br />the Council of the City of Roseville may from time to time prescri_ �i�l; I�; �1 i•ir •{,ir,i �; i,i;.i� =� �'r• "r7. <br />Signature _ . _ <br />Date 1�" f—�� <br />If completed license should be mailed somewhere other than the business address, please advise. <br />�� ����� <br />� <br />