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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 />Cigarette/Tobacco Products License Application <br />Business Name <br />Business Address <br />Business Phone <br />�I��7� ���'/_�!�si <br />Person to Contact in Regard to Business License: <br />Name �.�� �► L 1 l� .�C_I j -- <br />Address ._._.( � �i � t�l�l JC_-� I � � �, m� ��� �� <br />Phone �� ( ' (D .J �J ' "7 J � ( <br />I hereby apply for the following license(s) for the term of one year, beginning July 1, 2002, and ending June 30, <br />2003, in the City of Rosevilie, County of Ramsey, State of Minnesota. <br />License Reauired Fee <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 ie prescribe, includ' g'nnesota Statue # 176.182. <br />Signature <br />Date � L-- <br />If completed license should be mailed somewhere other than the business address, please advise. <br />1�'or o�ce use onlV: <br />