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� �., ti i <br />�"' ' ■ Il Il <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651) 792-7032 <br />Cigarette/Tobacco Products License Application <br />Business Name <br />Busincss Address <br />Business Yhone <br />, � I �r I <br />Pe�son to Contact in Regard [o Business License: <br />Name <br />Address <br />Phone <br />I hereby a l fo the following license(s) for the term of one year, beginning July 1, �_, and ending <br />June 30, ����, in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Repuired Fee <br />Cigazette/Tobacco Products $100.00 <br />The undersigned applicant makes this apptication pursuani to a ws of tlte Siate of Minnesota and regulation <br />as the Council of the City of Roseville may from time to time pr c�clu i g M' esota Statue #176.182. <br />Signature <br />Date '� � <br />If completed license should be mailed somewhere other than the business address, please advise. <br />�I�� Y{�,(�lM„ �" l.�►' � ""'` S. <br />