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���--� — -- - --.ti.. . ��_ .� _ �.•�.,w,�.,r.��_ _ — —.....�� <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 ��i�� �� <br />�USIRG55 iMi$tf7G <br />�usines� r�dress <br />�u�Gn��s Phont <br />���s_ �� ����� � <br />f �d `� dr�, �A-� ��� � , <br />���`�# l�f� � �+� <br />�S�- �4��•��� 8--- ���.—,. . ___� <br />Person to Contact in Regard to Business License: <br />Name <br />Address <br />���� <br />�� � � �� ����� ��� � <br />Phone �O ��-� 4�� -� ��� <br />I hereby apply for the following 1 icense(s) for the term of one year, beginning July I, 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 />M�!';� <br />$15.00 <br />(per machine) <br />uanti Total <br />3 �`�rOO <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 prescribe, including Minnesota Statue # 176.182, <br />signature <br />�� ��� ��� � <br />If completed license should be mailed somewhere other than the business address, please advise. <br />For o,,�ice use only: <br />a <br />