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2004_0426_Packet
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2004_0426_Packet
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� ;:;., � � <br />' ■���� <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651) 792-7032 <br />Gasoline Station License Application <br />Business Name e5cc'o �._'�iifli <br />Business Address <br />Business Phone <br />Person to Contact in Regard to Business License: <br />Name �'f}f'O�e.1U£II..L.�"'` �..R.4.►� C�S�a�� �4h-�YY1fLV1.� <br />Address �J� s. 3��' ���� �� ��C7 Ll1%r� �%`'�' 7 0 � 0� <br />Phone �`"� � Z3�'l [� � <br />I hereby apply for the following license(s) for the term of one year, beginning July 1, ��, and ending <br />June 30, ,� � S , in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Reauired Fee <br />Gasoline Station $130.00 �e�1�.QD�� <br />The undersigned applicant makes this application pwsuant to alt the laws of the State of Minnesota and regtelation <br />as the Council of the City of Roseville may from time to time prescribe, including Minnesota Statue #176.182. <br />Signature � � ��Sdra <br />Date � � �� � � <br />If completed license shuuld be mailed somewhere other than the business address, please advise. <br />�IJLo�.a.e.. nrl.a.u�. '�o �b�-�%� <br />For o�ce use only: , � <br />t�} address. Sjfe +s <br />u�m o�.,nn�.�d . c.�;11 ���d�'ia <br />10 caS2 � sa,nr�Q. �,-�. , <br />�o�}-;,(1c, csrl �'1-�-Se.S. <br />
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