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�� � <br />�� � <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651) 792-7032 <br />Gasoline Station License Application <br />Business Name <br />Business Address <br />_���� <br />_� ��� <br />.����- � <br />Business Phone �� � - � U / ' i � 3 � <br />Person to Contact in Regccrd to Business License: <br />:��R�� <br />���t,�s� <br />Ph��ti� <br />��� ��� ���. _ <br />I hereby ��+p13� f�r the following license(s) for the term of one year, beginning Ju1y 1, �, and ending <br />June 30, �� , in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Reauired <br />Gasoline Station <br />Eee <br />$130.00 <br />The undersigned applicant makes this application pursuant to a11 the laws of the State of Minnesota and regulation <br />as the Council of the City of Roseville may from time to time prescribe, including Minnesota Statue #176.1$2. <br />�ign�C��re � - - _ � � �. <br />� <br />Date sf n--� � f <br />If completed license should be mailed somewhere other than the business address, please advise. <br />For office use only: <br />Recei�t # <br />