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City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseviile, MN 55113 <br />(651) 490-2212 <br />Pool/Billiards License Application <br />Business Name /-�_'-` " <br />Business Address <br />, � , ,u .� <br />''�/�ii' i`_.E'���i,.'� .'' <br />i/y/-./. <br />/�. .'d�jri�,: °'4.�-\C`��__..._..., <br />_ , <br />Business Phone ��_.-�-�i ,1 .�' ��1 .. � --�=ii � ��i �=,' 1r� <br />Person to Contact in Regard to Business License: <br />Name <br />Address <br />Phone <br />- � . , � ... � .'� -'•_l � - .�...". _, _� <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 <br />PoolBilliards <br />Fee <br />$70.00 (first table) <br />$20.00 (each additional table) <br />uantit Total <br />. �v .::.... <br />� ' %�` ..w._.__ <br />The undersigned applicant makes this application pursuant to all the laws of the State of Nlinnesota and regulation <br />as the Council of the City of Roseville may from time to time prescribe, including Minnesota Statue # 1 76182. <br />, r ---- " < <br />..�' � �' <br />Signature �;.�,✓' ..--'%'� �--��",�� ,.»<�..: ,,...r_ „f' <br />Date _-'`j -�� �-� ' �'' _%�_�, <br />�,e , <br />If completed license should be mailed somewhere other than the business address, please advise. <br />For o�ce use only: <br />