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..._... .:,`.. _ . � �--� -- � - � � - -- ""`' — - - -- <br />�,-..�+� - - - - - � — <br />��� <br />� <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 />�1�sirtess Narnc �� � �. �.,�. f - <br />�WS17��9s Addrtss � � � � �]s r� �� '� � .����.�'+ � 4�{' <br />�S� � � � _ <br />� <br />�usine�s Ph�ne _ � � ,� ~ ��� � �- • - - .. . --- <br />Person to Contact in Regard to Business License: <br />.� <br />N �me - -����� r� � ��? � e.�t � �,��- -_ <br />[.� <br />Ati"4r�s G_�' rr� L` i C� ` I__ ���c ir_.�ft�` %ti"IAa ��� t� <br />Y <br />Fhonc ���� �_ �' � � - � -�- - - -- - � � - - <br />I hereby apply for the following 1 icense{s) for the term of one year, beginning July l, 2002, and ending June 30, <br />2003, in the City of Roseville, County of Ramsey, State of Minnesota. <br />License Reauired Eee <br />Cigarette/Tobacco Products $100.00 <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 �scribe, including Minnesota Statue �] 76.182. <br />5����.ur� � <br />—�� <br />Datc , tJ � �;� y— <br />If completed license should be mailed somewhere other than the business address, please advise. <br />t-ri. .'+�l� t'�` li -i' i �r�_}' <br />� <br />