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� <br />���� ' � � <br />�f � <br />�� �_ _ �� <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651) 792-7032 <br />A.�nusement �Jevi�ce Y�icense Application <br />� ���, ..-�.��..��--��� �=-. = <br />Business Name . Dandy Amusements Int'i., Inc. <br />15455 San Fernando Miss Bivd. <br />Business Address Suite 2�0 <br />Mission Hills, CA 91345 <br />� <br />�IISLLl..�S ��l{]Ll� t � t-' L?� �.� ���'-�J � <br />■ <br />}''�rs�,r r� Corrra�r �rr f����a��� t� Rr�rr�ea,� 1��ceMSe; <br />7�timc I �i:y <br />�'�. tl��..�s <br />���47]� f � +� i { �,'`.;i ; � �. <br />I hereby apply for the following license(s) for the ter��l of one year, beginning July 1, , and ending <br />June 30, , in the City of Roseville, County of Rainsey, State of Minnesota. <br />Liceuse Requirecl <br />Amusem�rr,t Device <br />Pee <br />$15.00 <br />(per machine) <br />ulntit � <br />k',:�. <br />1�P11 <br />„� � r � r.t . <br />��-� <br />The undersigned applicant malces this application pursuant to all tl�e laws of the State of Vliilnesota and regulation <br />as tl�e Council of tlze City of Roseville may from ; i»yG to �i�.se prescribe, including Minnesota Statue � 1'��.182. <br />� <br />�— � <br />���n�, �-� __� <br />� <br />Datc --� - � `� �7 � <br />If completed licetxse slxoulcl be mailed soii�ewliere other t1x1�� the business adclress, please advise. <br />I'o�' officeiGSe only: <br />Receipt # <br />