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�� � � <br />T� <br />�� ��� <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651) 792-7034 <br />Gasoline Station License Application <br />�iL`.41_7C.:5 �:117'.: �1�.�� � ' 41J11 � �-�y �� <br />ti} .. <br />Business Address _�.��_�_� M �f �� I�� ��� <br />Business Pho��e ��j�� �� �� ��.�� 1��.. _ _ _ _ _ <br />Email Address ������?�_. ���� . <br />Person to Contact in Rega��d to Busir�ess License: <br />rlame ���1 Y� �] � '�� ��� � � J� � �� �� � �'�� � +` � . <br />Address �� ���������� �� _��� . _� <br />Phonc ��! -�.�' �� �� <br />T 1"i:~1,� :q,�,l'r ��i' ;iit�. I�'•11r:a-ing license(s} for the ten�i of one year, beginning July 1, _,���T ,�nd <br />t'iit�i;g JkiG1�. ��a, ��, in the City of Roseville, County of Ra�nsey, State of Minnesota. <br />License Req uired Fee <br />Gasoline Station $130.00 <br />The i�ndeesigued applicant malces this application pursuant to all the laws of the State of Minuesota ai�d <br />regulation as tlte Council of the City of Roseville ��1ay from time ����k ��s;�� cribe, including Miruiesota SCah�e = <br />#176.382, — <br />5ignaM►re _ _ .__ <br />Date . _��. ��� .�, . -- <br />A fire inspection is required before issuance of a license. Please call 651-792-7341 to set up an <br />inspection. <br />If completed licei�se should bc mailed somewhere other than the business address, please advise <br />� �� �-���� <br />