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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 />A u4iar�s N arnt �� <br />E� u�i�«5s r� d�lrr�s <br />Business Phone <br />� � �� �#�� i � � � � �� <br />����I�L�� .�lLl�1�� � <br />� I - b3 j �� � � <br />Person to Contact in Regard to Business License: <br />N-0mG <br />����� <br />Fhone <br />-�3�. �_�ll ��I� ��1� <br />���� ���_ i�. � �r ���� t���,�� �r�r-����� <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 Minnesota. <br />,, ..� ., <br />Cigarette/Tobacco Products <br />Fee <br />$100.00 <br />The undersigned applicant makes this application pursuant to a11 the laws of the State of Minnesota and regulation <br />as the Council of the City of Roseville may from time to time prescribe, including Minnesota Statue # 176.182. <br />�ignmi�ar� ����� ��``� <br />Date � �� � �� � <br />If completed license should be mailed somewhere other than the business address, please advise. <br />For o�ce use only: <br />