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2004_0524_Packet
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2004_0524_Packet
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5/12/2014 12:11:58 PM
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�# <br />�ity of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />���fl� 792-703� <br />���ar�tt���'������ Products License Application <br />I3usiness Name � " � � ? ��?�.l�;�#���� � � ��� 4•��� � <br />Business Address _���'1 � ���,�� � � �+ �.�� � �rx,� n � , <br />�� � � - <br />_���.���.F i ��� ��' ���f f � - - - � - <br />l�u�in�5s1'��;a�ie �.�-� ����� - w�.. � � ��-'- . ��-- -� -- <br />Pe�son to Coiitact �ii ,������c: to �+�fi��� Lice�ase: <br />Name .`' _ ��� ��- ��—� �"� { �� �� <br />Addr�s� <br />� <br />�ltil: �]C • � � • ` ` '` 4 <br />� <br />I hereby apply for the following Iicense(s) for the term of one year, beginning July 1, .� �` G� `% , and ending <br />June 30, �� �'? C� ,�� , in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Reauired Fee <br />Cigarette/'I'obacco Products $100.00 <br />The undersigned applicant malces this application pursuant to all the laws o f the State o f Minnesota and regulation <br />as the Council of the City of Roseville may fi•om time to time prescribe, including Minnesota Statue � ���,182. <br />� ���,�r,�r�- <br />� �}��� <br />���. , ��-r � � `-° ��'�' f. <br />Hf �:ompleted license should be mailed somewhere other than the business address, please advise. <br />
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