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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 />Business Name ,$�j ��p� $ ��� � <br />BusinessAddress �%SarJ 41�. �aa�i��� RQa.L� �—�. <br />� ���,�r�� _ M .55 ► t 3 <br />Business Phone ��� � � .3.1 T ��� <br />� <br />Pe�son to Contact in Rega�d to Business License: <br />Name � ������ <br />Address , <br />Phone .. . _ _.... _ . — <br />I hereby apply for the following license(s) for the term of one year, beginning July 1, z d D�-i° , and ending June <br />30, z 005 , in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Repuired <br />Theater <br />Fee <br />$70.00 <br />(per screen) <br />uantit T"t�� <br />�� ��� <br />The undersigned applicant makes this application pursuant to all the laws of the State of Minnesota and regulation as <br />the Council of the City of Roseville may from time to time prescnbr, in�E 'n ' es.�, �i � d' L��.I ��. <br />Signature <br />Date � , ., , <br />If completed license should be mailed somewhere other than the business address, please advise. <br />For office use only: <br />