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City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651) 490-2212 <br />����r��t��`� ����� ��� � � � ts �i��n � �� 1�ippli c � �i � � <br />Business Name � � � � � �} t� <br />l�u�iitir�� J141{ir�s ,.� �}� � � � a � � � �, �w' <br />� �� � �� '� � � � � � �� � ��� � � <br />Ba�siness Ph�r,e �� ,S� v �}.�� � — � 'S' <br />P�r�rra�a r� C'+�nrat�t rn ��rc� tr� �ar.rrn�sfi #����+4#�; <br />�$IT1C � �. la �lf � �� � � r � +� �{ <br />� <br />1��i���'s5 � �� �� .��� Sr r L1�L.�rf _���� _ ��' `� <br />T�17uiti� � G.� _ � . . � � 5 � � �� �-_ c� <br />� : f; f �. � <br />�--- —� - t -,-�-- �-- �'� <br />I hereby apply for the following license(s) for the term of one year, beginning July 1,2002, and eq <br />2003, in the City of Roseville, County of Ramsey, State of Minnesota. � <br />License Reauired <br />Cigarette/Tobacco Products <br />Eee <br />$100.00 <br />41 f;'' .'-� ��._,� <br />ding June 30, <br />The undersigned applicant makes this application pursuant to all the laws of the State of Minneso a and regulation <br />as the Council of the City of Roseville may fi•om time to time prescribe, including Minnesota Stat e� 3 r� I$�. <br />�� <br />Signature �,� �.� . �- y--p . �� . �cJ :� c �, �t f �- . —� . <br />Date / - � � _° � `� <br />If completed license should be mailed somewhere other than the business address, please <br />raar r��?i4:c i�{� tailiy: <br />