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s <br />� <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 />, .�. . — - . .. - - - - .. . _. — .. . . __ .. .. . <br />�. ti � <br />��sar�s N�m� _��� � ��� ��� �� �� .�� _ �,� <br />Suair�a Addr�ss -� � � �..� �,� �-� - � � . <br />�,�� �, .�� _ 4 �'1,-�ti ����� — .—, �—. <br />Business Phone � �� � C�?,� - �1$ � <br />Person to Contact in Regard to Business License: <br />t��rnc <br />Address <br />Phone <br />�����_����c��� <br />��� <br />��.�....�---- <br />I hereby apply for the following 1 icense{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 />License Required <br />Amusement Device <br />� <br />$15.00 <br />(per machine) <br />uanti Total <br />� � l� � <br />The undersigned applicant makes this application pursuant #� all the la�� �f th� �ea�r a� Cvlirm�swa r�ulatEOn <br />as the Council of'the City of Roseville may from time to time p�s��1be, in�l 'n� },+linorsn� tatu l��_ 18�. <br />Signature _ <br />Date � `��� � �� <br />If completed license should be mailed somewhere other than the business address, please advise. <br />For ol�ice Kse only: <br />