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�,.,.�, �.� , ...� . .. - . . —.. ._ -- �-- <br />� ���, <br />� City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651) 490-2212 <br />Amusement Device License Application <br />�5��� �� ��� �� ������ ���;� � <br />a�s;nc�s 14�ar�ss �J� k1 ��. M kl ��i�+fr �,� � <br />���� �� �� �� ��� <br />Business Phone �5 I- 6�� - 3ZS6 <br />Person to Contact in Regard to Business License: <br />T�sm� ��►F� - � � � �+�r. � �r���l ��+kr�� �r" +���`r <br />..��:'--� –y=�--- <br />A�decs� ��O �+M�P.�,�� .�7��'� � �+4+��� 5... � r ��+ .. � �� . _.�o � � o � <br />Phone $16 � Ygo - y7o� <br />I hereby apply for the following license(s) for the term of oneyear, beginning July 1,2002, and ending June 30, <br />2003, in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Required <br />Amusement Device <br />Fe� <br />$1 5.00 <br />�per machine) <br />uantit Total <br />—!s . �.� s �° <br />The undersigned applicant makes this application pursuant to all the laws of the State of Minnesota and regulation <br />as the Council of the City of Roseville may from time to time prescri ' Ltiding �+linrr�ot8 �tatuc � I?�.1$�. <br />Signature � -'�� � • ���� �� . .. _ . <br />Date C � � ��� � <br />If completed license should be mailed somewhere other than the business address, please advise. <br />For o�ice use only: <br />