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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 />PooUBilliards License Application <br />�u�incss Nam� <br />Business Address <br />Business Phone <br />' � `����� �� �� � <br />����� � � <br />���� 4��� <br />��� ��}� ���� <br />Person to Contact in Regard to Business License: <br />N�m� �ti� ����� � <br />� <br />Address ��-�`� <br />E�� <br />L� <br />� .������ <br />I hereby apply forthe following (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 F� <br />PooUBilliards $70.00 (firsttable) <br />$20.00 (each additional table) <br />uanti <br />� <br />� <br />� <br />-- � <br />� <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 tirn� prescrib� i r�din� �Iin e Statue # 176. I 82,� <br />Signature . � � <br />�alc _� �� -� �� .� --- — -- <br />If completed license should be mailed somewhere other than the business address, please advise. <br />For o„�fice use onlv: <br />