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��� � i1 <br />��� <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651) 792-7032 <br />Cigarette/Tobacco Products License Application <br />. � .. -� � �;r <br />aL'Si:7Cx5 I��"17C �_� t� r�t �•� I t� �.:•�i �—" .i 1�I.-L �� l�'�e �- �i , � r C � <br />� ��-•-• <br />Bu6in�asAddr� � ~� �~� ��=��hi�r���f �,I,�*— �� - <br />�� ���` ;��f � � ��: _ � � A� . ��, , �~�.-- <br />Business Phone �� � f � � � .��' L � �-� � �'� <br />{.i`tij•�ir ,Y � <br />f�r�s+�a� 10 �.'��,�r�c� r,i f{e�rri 1� ��rsiM�a� �c,�rr�e � t�� ���. v_'�,•.�� --{ <br />' i 7 �� <br />Tfam,e " <br />_ .�— <br />Addr�s� � <br />Phone — ' � ' <br />I hereby apply for the following license(s) for the term of one year, beginning July 1, ���,-f_, and ending June <br />30, �.'.—�'ti �.::� , in the City of Roseville, County of Ran�sey, State of Minnesota. <br />License Reauired P�.e <br />Cigarette/Tobacco Products $100.00 <br />� <br />The undersigned applicant makes this application pursuant So all +��.ia�+�s of �lr. �u+ai� �� �i;-i, z and regulation as <br />the Council of the City of Roseville may from time to time p�eaca '��'tr,ch ' ota ��tiu � I'��. L 82 . <br />� � .� <br />y <br />�Ig��hrte .,. <br />Date �'k+_.� �� ��.�-�-/�� <br />If completed license should be mailed somewhere other tltan the business address, please advise. <br />