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��� <br />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 � e�P- ��✓�; • r� �; � �c><; —_P�.f.I ��- /7,r'�'�� C? f:�-t� <br />Business Address ���� ,,�,� � ii"f/���(?6t/ , _� <br />,��-��_ ���1 �? , ���-� �. a"1% �s <br />Business Phone <br />� � �� � �,� tl� <br />L=� ..� (- 7 > <br />Person to Contact in Regard to Business License: <br />Name <br />Address � � U L L��-- <br />�e.I�l� <br />Phone �� � , `.� - `." `% < ,,�/' -- �� �_� <br />� <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 Roseville, County of Ramsey, State of Nlinnesota. <br />License Reauired Fee <br />��.,.. _ <br />Cigarette/Tobacco Products � $100.00 <br />�.._... • <br />The undersigned applicant makes this application pursuant to all the laws of the State of Mi <br />as the Council of the City of Roseville may from time to time prescr�be, including,,�linnesc <br />Signature <br />Date " _�, <br />and regulation� <br />#176.182. <br />If completed license should be mailed somewhere other than the business address, please advise. <br />For o�ce use only: <br />����� <br />