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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 />E�U�i ness Narrie <br />Elusri7css Ad�dre�s <br />�usin�ss Plwn,� <br />��'� �� � �� <br />t `� _ #•�,_ �. ���� � r� <br />�.��r f� � _ �� � # � � <br />�o��-��� � � �� � <br />Person to Contact in Regard to Business License: <br />�v am� <br />���lr�ss <br />1'h�n� <br />��. ���� <br />����. � �._��� � � <br />���-��� •�5��r <br />I hereby apply for the following license(s) for the term of oneyear, beginning July 1,2002, and ending June 30, <br />2003, in the City of Roseville, County of Ramsey, State of Minnesota. <br />i .iranea Raanirarl <br />Cigarette/Tobacco Products <br />Fee <br />$100.00 <br />The undersigned applicant makes this application pursuant to a11 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 />Date �/i3% 7�- <br />If completed license should be mailed somewhere other than the business address, please advise. <br />For offrce use only: <br />