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' � I <br />v�.��4.,�.. _... ' � � � <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 Phone LO J�- (o �(j � 7� <br />Person to Cuntuct i�: Kegard to Business License: <br />Name <br />Address <br />Phone <br />I hereby ap ly for ��e followi�g �iceri�e(s) for the term of one year, beginning July 1, G���' and ending <br />June 30, �_, �� the City of Ros�evitle, 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 Minnesota and regulation <br />as the Council of the Ciry of Roseville may from time to rime presc ' � cit ing i e ta S e# 176.182. <br />Signature ' <br />Date �f, ��, �l�7Clii. <br />If completed license should be mailed somewhere other than the business address, please advise. <br />