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13usincss Name <br />I'�.�..� 1 , -, <br />� <br />City of Roseville <br />Fina�ce Department, License Division <br />2660 Civic Center Drive, Roseviile, MN SS113 <br />(651) 792-7036 <br />Gasoline S�at�on License Applica�ion <br />������,,.�.����„ �,,,,_ ��„� <br />� <br />Business Address r%� � Yl �'�'i��'! �!✓��'L�i�lUei�� 1� n� �'.(�� � P d�'t � <br />Business Phone G � � ` ['7�,%� <br />Cmail Address <br />Perso+� 10 Co�itact in Re�ard �o L3usrness Licet�se: <br />Name <br />Address <br />Phone <br />1 hereby apply for the folla���ing ]tceitse{s) for thc ter��1 of o�ie year, begii�ning July 1, , and <br />ending June 30, , in the City af Rosevillc, County of Ramsey, State of Minnesota. <br />l,icense Required Fee <br />Gasoline Station S 130.00 <br />`ihe undersigned applic���t makes tl�is application pua-suant to all the ]aws of tl�e Stare of Mitincsota and <br />regulatio�� as the Council of the City of RoseviPic iziay irom time to time prescribe, including Mi��nesota Statue <br /># l 76.182. <br />� <br />Srgnat��re C <br />Date � _ e�� � <br />A i'ire iris��ection is required f�efare issuance ol a licen,se. Please call b51-792-7341 to set up an <br />tr�specr►on. <br />lf completed licensc shou�d Ue 7nailed son�ewhere other thari tl�e Uusi��ess address, plcase advise. <br />