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� � <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 ��c�( ,1'� � [_��_�j�C. . <br />Business Address ���� L�X%VZ 1��� Q. N <br />'� LS ev � \1 �e �►�l � �� <br />Business Phone . f�� ��9 - y c�ZB <br />Person to Contact in Regard to Business License: <br />Name <br />Address <br />Phone <br />I hereby apply for 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 Reauired Fee <br />Cigarette/Tobacco Products $ [ 00.00 <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 time prescribe, including Minnesota Statue #176.182. <br />�— <br />Signatwe _��/, _ _ � <br />Date % f 1'-1 � C} y <br />If completed license should be mailed somew6ere other than the business address, please advise. <br />