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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 />Amusement Device License Application <br />, <br />' ��� � ��� �- <br />Business Name � � � -� � � � � 6� � � '� � 1 <br />Business Address ..� �� �� � �J � ���r�� _ _ � � � ��� <br />_���. _� � ` f ��� �1 � ��� � <br />Business Phone � . �� � a � ' � � �� <br />Pe�son to Contact in Regar•d to Business License: <br />N�ni: <br />Address <br />Phone <br />�' — - � - <br />_�� _ .—� <br />s� <br />I hereby apply for the following license(��or the term of one year, beginning July I, O� , and ending <br />June 30, 2 O��n the City of Roseville, County of Ramsey, State of Minnesota. <br />License Required <br />f�111llSeillCllt D0V1C0 <br />� <br />�IS.�� <br />(per machine) <br />'a,nkaA <br />��� <br />� - <br />� � . � � <br />� <br />The undersigned applicant n�alces this application pursuant to all i15� laws of the State of Minnesota and regulation <br />as the Council of the City of Roseville may from time to time Pr��n?�Ca including Minnesota Statue # 176.182. <br />� �` � <br />�s�maC41�e � -� ��Y`~�'��� <br />L��[e • --•- � � �� ! •-� �-•• -•- - <br />If completed license should be mailed somewhere other than the business address, please advise. <br />For office : �s � n�ilv: <br />� -'.�ir�• ii.- ' ; ••' .., ' _ _ . ��.�r <br />�5���'����I tiv � �F <br />i••i. i, . ��-.� <br />I�'Ltil': f.i�r t <br />• - ----.• _-----._ .— - ' � i <br />