Laserfiche WebLink
��4r�� � <br />���_ � , � �T � 1 <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651)792-7034 <br />Cigarette/Tobacca Products License Application <br />Business Name � •� �a� �-rt�;� <br />Business Address <br />Business Phone <br />Emait Address <br />�.�c� �-� � ��- �, <br />r��� ���� ���� <br />Person to Contact in Regard to Business License: <br />� <br />Name z�_ 1�� 1_ ���� �r�.� ��� <br />Address �.(�� � ����� �r� r�. -����� �� �1.� �' ��� � � � � <br />Phone �, Z ° � �� " � � i� � <br />I hereby apply far the following iicense(s} far the term of one year, beginning July 1, �- �� , and ending June <br />30, �'��'�* , i� the Ciry of Roseville, Counry of Ramsey, State of Minnesota. <br />License Required <br />CigarettelTabacca Products <br />Eee <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 Ciry of Roseville may from time to time prescribe, including Minnesota Statue #� f 76.182. <br />Signature ��%G� � +�� �� <br />Date �' � ��' �'� <br />If completed license should he mailed somewhere other than the business address, please advise. <br />