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2004_0524_Packet
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2004_0524_Packet
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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 />C�garette/'Tobacco Products License Application <br />f r <br />�i14'i:Ll `�.5�' �iSLll�' � �� 4`��.� �F' �� � 7"�[-Y -# �r ,� � r� °; { �� �J J��J} 7 <br />J <br />�L.�'i]RCS4 r'4��7L55 4� � ' �{���i f_�' _�f� t_� �L� '�� _ . <br />� � <br />��t��� ������ � �'� f� �� � <br />� �.- . ...... <br />� .. . . _ <br />f � % <br />Business Phone �f�: � � –�,'� �� -���; � �-f — <br />{��r•;�,�a to Contact i�z Regas�d to Business License: <br />�.-- { f, <br />---��� , � �: . �f. � } �� �� ,�_ <br />N:���7t� , r� � , ���• � �`.' ,•<7 -" � �, i�ffl��_��� . }' _� <br />3_� .. <br />.'Sti{� fL�1 <br />3`I ;�:14' <br />I hereby apply for the following license(s) for the term of one year, beginning July 1, �?✓� � f, and ending <br />June 30, _���� �� , 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 1 i n�� ;.a��c�x:, i� , i«� lu�l i ��� ?��u � sa S iaive � 1 Ffi. ] S�, <br />Signature � � � �� <br />Date � } <br />If completed license should be mailed somewhere other than the business address, please advise. <br />
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