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2004_0524_Packet
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2004_0524_Packet
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�� '� <br />�� � _- ,--r � . i 1 �r � <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 />I3usiness Nan�e � f f �F <br />: .�'r-�-'� r� f���^���� � � ' 7�i�� ��'i , <br />Ai�{i ntss A d�Jr��s +��, ��� ���X� a�r' �.,�„�.�- <br />t <br />��}�'� ����� ��� � '� r��� . <br />Business Phone � �;' / ._ � � � — % � � � <br />Persan to Contact �r� Regard to Business License: <br />f• � <br />N�mG ���r��� ����.r�'t �'� �� �_ <br />.��s� ����� � �•r�r� �� �-' � ,T-- <br />�kw�r�r ��� ��-�, � �, _ ��. .� � <br />I hereby apply for the following license(s) for the term of one year, beginning July 1, �t'� 1' �� , and ending <br />June 30, :/, ��o � , in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Reauired Eee <br />Cigarette/Tobacco Products $100.00 <br />The undersigned applicant malces this application pursuant to all the laws of the State of Minnesota and regulation <br />as the Council of the City of Roseville may from time to time prescr�ber including M�innes�ta Statue �' 1 r�� 1�� � <br />�- _ fr� <br />E' �: <br />Signature ,�. -L'.� �.�. .�. .� �� �,��,-�1�� <br />±'r � � <br />Date '�� �� �' <br />If completed license should be mailed somewhere other than the business address, please advise. <br />
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