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2004_0510_Packet
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2004_0510_Packet
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City of Roseville <br />Finance ll�pnrtment, License Division <br />2660 Civic Centea� Drive, Roseville, MN 55113 <br />(651) 490-2212 <br />f <br />Cigarette/Tobacco Products'License Application <br />Business Name <br />��ti�},� ��� = ���i r�;�� <br />�iii�il'���� !'�14:�4 <br />� <br />F � � T �! �' ' � 3.! � ��.? ��7 ���� � '} � '�7� <br />��� !'��'���-�fl�� ��r.�: ��� �j—, � '���� <br />t�*���'«��_ . ��r�,� �� �a � -- , <br />� <br />��� f- ���,��-�'-��{.ti <br />Person to Contact in Regard to Bt�siness License: <br />•- • . !r'` <br />Name -�—��a n -��.� � C��t r, <br />:�d�i[t�� <br />P'-_; �7n � <br />�I <br />l � � � ��-.� �•� ti � �" � � l !�r' � t Ic.���'� � r'�r.� � `� i � �� <br />� • - -- • --•• - -- '--F--A- --- • - � <br />�r � ��b t fr�� <br />�� <br />I hereby apply for the following license(s) for the term of one year, beginning July 1, 2002, and ending June 30, <br />2003, in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Reauired <br />Cigacette/Tobaeco Products <br />� <br />$ I 00.00 <br />T.•:� undersigned applicant makes this application pursuant to all the laws of the State of Minnesota and regulation <br />f�.s �1�� �,�vu.� �i l;�t' tJ�c �: il� k�f [tos v ti�: €: ��7 a�� fi tiri77 r� �7��c i. � r; �r.�• �7rti: =: : r�:t �r�� i���i :n� A�F i�7s;ti�,r; 5t�m:� �] F�. I$�. <br />.. ����^� � '-��'�.. �' <br />� ignt�ir� � � � ,� — — <br />:� <br />C�a�e ;� `� - �. '1-�' �} � <br />Zf completed license should be mailed somewhere other than the business address, please advise. <br />For o�ficeuse onlv: <br />�'� ��y, <br />:, !�Y, :�� .� <br />�.��.��i}� �� ����� rY� <br />_i-.. k .. � _ _s. .... .. �_ <br />, <br />+�� � lL �F�. i -0 f �"� � � �. <br />r <br />�,�, � ���.� ���� - <br />r �.{ <br />'�-� -�- 4 1�. �-J,y � � � <br />� �}'+���L C�'�ixt� F } � � r� � � � �i <br />
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