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�r,,� w ., <br />, '+�` <br />„� ' , ..,� �. , <br />City of Roseville <br />Finaa�ce Department, License D�vision <br />2G60 Civic Center Drive, Rosevilie, MN 55113 <br />(651) 792-7032 <br />4ff-Sale 3.2 MaYt Liquor License Application <br />B►asiness Name <br />Business Address <br />; � <br />. <br />�����'��1� � � ���i I <br />_ ._� .. -- <br />Business Phone �`� l � Q �'" <br />Person to Contact in Regard to Business License.• <br />Name \ �: �� i � •• t �t � <br />F �� m <br />Address • • <br />Pl�one <br />Drivers �,icense Nurr�ber <br />Social Security Number <br />-�=;�h � 1.:� �� E <br />�- ' -' ' ' Date of Birth � <br />U.S. Citizen? Yes No Naturatized? <br />If yes, date and place: <br />.. � -- <br />Yes No <br />I herel�y apply for fhe following license(s) for the term of one year, beginning ]anuazy I, , and ending <br />December 31, , in the Gity of Rosevi[le, County of Ramsey, State oF Minnesota. <br />L icense Requirec� Ree <br />Off-Sa[e 3.2 Malt Liquor Beverage - $3fl.D0 <br />� <br />The undei'signed applicant makes this application pursuant to aii the laws of Che State of Minnesota and regulation as <br />the�Council af the City af Roseville may fra�n time to time prescribe, including Minnesata Stat #17b.I82. <br />, <br />�Signature � �'� <br />� ~ Date (s� T G�,� <br />• If completed license sliould be z�ailed somewl�ere othe�r thaii the business address, please advise. <br />For offzce use ondy: <br />� <br />����.���� �et , - F <br />� � �������'���� A � , $ � <br />��� � �:� `�'-'�, � � �`xi, �, <br />s��� � �.r �� s� .,'�&��`'�"� ° � �r. <br />� <br />