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��� <br />�R � <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651) 792-7032 <br />Gasoline Station License Application <br />�u�i,lcss C�a,riG _=�_� �: _i" �' � 'ti�� �' ;`� �� L.� � - -- — — <br />. . _� <br />H u� i�css A�d�3� � , � � �:� �? ' �_ ii�_ ti� ��� �'� �1 ti"� � �� <br />I 4 � _ �a �, L <br />l� _ J • f• L�' � 1 I' y�I� 4 1�I y' � 1 � <br />� __ y � w.. .� �-M1 . � _ <br />D usiness �'kione �-. � - I f� , ;i � _��r � •� �r'�, <br />Pei-sorz to Contact in Regard to Business License: <br />�� <br />Name ' � <br />��,4 },—''���; �• �+�1 1' <br />Addr�ss — —'3 ��i �_ ' r �,.� ��, � � r� a� � ��7 � ��� <br />,' k� � <br />� • �• �I � J <br />F`hon� ,l ��� �' � � t f1.� � �,� } <br />I hereby apply for the following license(s) for the term of one year, beginning July 1, _:�_4 � r.. -;' , and ending <br />June 30, ':��; �t �-�� , in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Required Fee <br />Gasoline Station $130.00 <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 time �r�.ribr.,�.Lu� Minrres� Statue #176.182. <br />Signature ' � � � f � <br />• � 1 <br />Date • ��-�� �r � <br />If completed license should be mailed somewhere other than the business address, please advise. <br />{+S:' °}�• , .?+� :.ri! � <br />� �`-'� - -- - _ <br />! k� <br />I ' u <br />'7 � .1 <br />5 <br />