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0 <br />� <br />� t.^ I <br />' ■/I�l <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center llrive, Roseville, MN 55113 <br />� (b51) 792-7032 <br />Cigarette/Tobacco Products License Application <br />Business Name <br />Business Address o11 <br />�� <br />� , Iv <br />� <br />� �s-e u;11-e I'� 5 S I I 3 <br />Business Phone (�S (-� �{ �' � L{� c..� I <br />Person lo Contact in Regard to Business License: <br />Name �� i 1 � t� 4'►'� � 1'G� S S <br />. <br />�t�ress ��'1 `���►,�'i,r-� �v-e . .�.lo , „ c��e. �; Il .� l�w SS l 1;3 <br />,. <br />�non+� ��i--.�?�� �i�i I , ' � <br />I t�ereby appty for the fo�towing,license(s) for the term of one year, beginning July 1, �60 , and ending <br />June 30, ZC�C� S , in the Ciry of Roseville, County of Ramsey, State of Minnesota. <br />License Required <br />Cigarette/Tobacco Products <br />Fee <br />$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 City of Roseville may from time to time prescribe, including Minnesota Statue #176.182. <br />1,1 . ,_L� � .\� � <br />Date W/ialn�-1 <br />� <br />If completed license should be mailed somew6ere other than the business address, please advise. <br />