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��"t "� �:�.- . `_ ' : �" ' <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 />ra���� �� ��x�� _...�����--� �.�-� � k� � � �� �.��� - <br />�u�ir�s Address o� � � � I�� �I��.. �� �� . <br />_ ���: .� �� � � � � � _ — --- <br />Business Phone ���1� �p � � — � � `i � <br />Person to Contact in Regard to Business License: <br />�I$]TJC �_� � .. [�1�f ��� <br />����� ��� �� :���� �� �_ �,�' � <br />�� <br />Phone ������ / / 9—y�/� <br />���� ���� �� , 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 />., . ..� -� <br />Cigarette/Tobacco Products <br />� <br />$1 00.00 <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 1 ime pr�es�rthe, i nclur] in A�1 inn�sn�a 4t�tur #]��r. I S: . <br />7 <br />Signature _ � <br />Date � �' � � ..__ <br />If completed license should be mailed somewhere other than the business address, please advise. <br />For o�ce use onlv: <br />