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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 />Business Name <br />I��sir��ss �#dd�ss <br />�usin��� Ph�n� <br />��s ��i�'�.� <br />� �� � �� ������ �� <br />��Yr ��� �i�f �� � <br />��� -�1��" `��� <br />Person to Contact in Regard to Business License: <br />Name <br />Address <br />Ph� <br />A�. ���s� <br />��f� �� ������ <br />J�'1-#►4�� r���� <br />I hereby apply for the following license(s) far 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 />�.. /: . . <br />� <br />$70.00 (first table) <br />$20.00 (each additional table) <br />uanti <br />� <br />�� <br />Total <br />'��r OG <br />i� i i <br />The undersigned applicant makes this application pursuant to all the laws of the State af Minnesota and regulation <br />as the Council of the City of Roseville may from time to time prescribe, including Minnesota Statue # 176.182, <br />signature Ux �;,�� <br />Uate ��}��0 � <br />If completed license should be mailed somewhere other than the business address, please advise. <br />For o�ce use onlv: <br />