Laserfiche WebLink
�. <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 />��Is�ness Namt <br />13us�nes� Add�ess <br />Business Phone <br />_�� �� ������ � �- � <br />ti��� ����I�� ,�, � , �-- <br />�� ��� ��� � r�f - �`11� <br />S'1-� +�$�—����� <br />Person to Contact in Regard to Business License: <br />Nam� �tr� �'� ` �� I��'�''� — -� ---- �- - <br />}kddress �� y����� � � . ���-'L�#� L`�-� � �� ��� <br />� - <br />�hone _ �D.��� �� � �� � ��� � �����.� � ������� - — <br />I hereby apply for the following I 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 Reauired <br />CigarettelTobacco Products <br />The undersigned applicant makes this application pursuant to <br />as the Council of the City of Roseville may from time to tirne <br />Signature <br />Date <br />Eee <br />�1�4.�a <br />[he ws o� [he �tat� �f Minn and r���r�tl�n <br />s{ri , ig����i�� �n�'�a tat�c � I��. i��. <br />If completed license should be mailed somewhere other than the business address, please advise. <br />Fa,� o�c� or�e ox:�j�. <br />