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� ''� �0 � <br />� � � � �i �x <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 />1S�si��s� 1�arne <br />Bya�re� }�d�re�s <br />Business Phone <br />���r���1�1 � �� - �� � ����;�, ��tt � ��Ft # <br />��1. � '� ��Ti f'_ ti� � ��'� � , '., <br />� � �L ��.��--� � �V tiJ � � � �." � � ��J <br />V'. J � �� lJ`�Jr 1 �,,`� <br />Per�son to Contact in Regard to Business License: <br />Name � J. � r � �4�� �� �`�� .� <br />Address <br />Phone _ � � a � � <br />1 hereby appl for the following license(s) for the term of one year, beginning July 1, ���, and ending June <br />30, �� �, in the City of Roseville, County of Ramsey, State of Mimlesota. <br />License Reauired <br />Gasoline Station <br />Fea <br />� L 3�D.�4 <br />The undersigned applicant makes this application pursuant to all the laws of the State of Mimlesota and re�lation as <br />the Council of the City of Itoseville may from time to tirne prescribe, including Mimlesota Statue #176.18 . <br />Signature _ � <br />�.J <br />�a� . ���._��,. _ <br />If completed License should be mailed somewhere other than t6e business address. alease advise. <br />�� �~� � u�1�7 1 � *��� � � � �*'L� � ' 4.� � � �.Y'�� �� <br />�Fot' o�c�e z�cse only: � � ��� ��' �!� � <br />"" "I }.r y � � +� <br />''A"i.:s��.���r <br />*.-.� <br />I��� � � `k'.'' - � <br />L.�,__ �t �~- -" 'r I <br />������ r <br />