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2004_0510_Packet
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2004_0510_Packet
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5/9/2014 2:42:42 PM
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City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651)792-7032 <br />Theater License Application <br />}� L�S If�CSS '� �171C �L�rr� y� .� <br />� F��A t'f;E`3 �Il�R ���i�r� � I ��L�S�CN� <br />Business Address <br />Business Phone <br />, <br />�710n IA1 ��'���!CuG ���1�F <br />�'����_� i z��. ���'�L. _.���,���`�a <br />�r � r��.�.;� <br />Person to Contact in Regard to Business License: <br />� �y,+I �� <br />���I]I�' ��YI��'� �.kit� 17i4J,�T� - � � ��5�l ,��;r, <br />�i ��L���Yk. ��—. <br />��'�T�i: LI���1.��S�F l'F�fi117.� I <br />_��l�r�s� ��af: fi���r,r ���. � �Y. .. �l� � ��I��iS- ���� <br />�h�,n� � ��.- ��d �+�.�� <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 Required <br />Theater <br />Eee <br />$70.00 <br />(per screen) <br />(t"a� <br />� <br />Tntal <br />� <br />The undersigned applicantmakes this applicationpursuantto all the laws of the State of Minnesota and regulation <br />as the Council of the City of Roseville may froin time to time prescribe, including Minnesota Statue # 1.76, l. $2. <br />� � <br />� <br />�i�narµre _ ' <br />Date ..�� <br />If completed license should be mailed somewhere other than the business address, please advise. <br />a � � �t�� � !Yt I� i I� �t.���� I� � ��r� � �� A 11 t� za � � r�L � Y :� 'T� 'TI� � �+�� �+1.� Cr r �r � uU���,� . <br />For office use only: <br />�' � <br />Receipt # � �� <br />
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