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� <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 />,� � ;--���,. � � � � � <br />13 us n��xs N i m� � � __ ' '� � i (.. �) � ` �.f� f� _ <br />� }. <br />�1�5�71C$S �i3�rCS�* _� J} � i 5� r. �__D C�' �� � � �� r ry _ <br />5 �yh �._� ��{} � +�� }� �� ���� ..— .—. _. <br />Business Phone �r' �i � � � �� �� � �� j _`�~ <br />Pet-son to Contact in Regard to Btrsiness License: <br />1,larri� � ,� � ? I i k. � . � ,' � `:, <br />� � - <br />., {' � <br />}�{���$R � i' .'S : ,� � �+ � � 5 - r�l `� � � � i � �' �' ` �f f`� }�,� L � �� . ' r. } <br />� • aS • r � -- ' �� <br />�lOflfi . . ` : - ' � + <br />—•— ---- �—'� --• —• . _ ._ ...."_ _._.. _.. __ _ <br />I hereby apply for the following license(s) for the term of one year, beginning July 1, � �� , and ending <br />June 30, � r��� `�- , 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 makes 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 tim� pr�.s�ria�clurlir� �iruu�so�a Siat�� �1?�.18�. <br />f <br />�� , <br />- , <br />Signature � �� '_ �� ���-��� <br />, � _�-� ���� <br />Date �� � ��� <br />If completed license should be mailed somewhere other than the business address, please advise. <br />