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� �;y� � i <br />�-- ' ■ �►1 �l <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Ceater Drive, Roseville, NIlV 55113 <br />(651) 792-7032 <br />Cigarette/Tobacco Products License Application <br />Business Name SP�+IAY 3]�RAI��RIC'A IIL cH� 3]PIItAI�FRICA �� 45� <br />Business Address � � �NIY �AD D <br />�Vn r F, Md 55113 ' <br />Business Phone 6���"� <br />Person to Contact in Regard to Business License: <br />Name gI�S Ai� far 3'E��AY 9L�A�I� II.0 <br />Address P•0. �C 15� LIC� l�Pf �'IFID, CEIIO 45501 158� <br />��� <br />_.__. <br />Phone 937�863-fi473 <br />I hereby apply for the following license(s) for the tertn of one year, beginning July 1, �+ _, and ending <br />June 30, �5 , in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Reauired Fee <br />Cigarette/Tobacco Products $100.00 <br />The undersigned applicant makes this application pursuant to all the laws of the State of Niinnesota and regulation � <br />as the Council of the Ciry of Roseville may from time to time prescribe, including Minne�ota Statue #176.182. <br />S;�,a� ,���� ,� �icense Coordinator <br />Date ����(p 0� <br />If completed lIcense should be mailed somewhere other than the business address, pl�ease advise. <br />�. �a� � . ,. �. , �. <br />� � :�� :� �t� .� �a• <br />`1" 1!! 1� 1 � II� 1 :1 <br />