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City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651) 490-2212 <br />Gasoline Station License Application <br />Business Name <br />� - � � � - /1�!]� ���"���_..,.��� <br />: � .' L <br />Business Phone LO�� ' <br />Person to Contact in R�ard to Business License: <br />Name <br />Address <br />Phone <br />� <br />L� I � �3� � q5'1� � <br />I hereby apply for the following license(s) for the term of one year, beginning 7uly 1, 2002, and ending 7une 30, <br />2003, in the City of Roseville, County of Ramsey, State of Nlinnesota. <br />License Required Fee <br />Gasoline Station $13 0. 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 prescribe, incl i Minnesota Statue # 176182. <br />Signature <br />Date '� <br />If completed license should be mailed somewhere other than the business address, please advise. <br />For o�ce use only: <br />��C�S�-- �Y1�1 t� <br />BRAUSEN ENTERPRISES, INC. <br />1310 West County Road E <br />Arden Hills, MN 55112 <br />