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� � fi tYi.^� , . ' . ��Y�_ T" __. _ .. _... _ : M .. . •�: <br />��• � ti •. ���I_" ' '7771i -• <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville,lVIN 55113 <br />(651) 490-2212 <br />Cigarette/'Tobacco Products License Application <br />du�irr�ss Narn� <br />�usirr� A�dttie�s <br />� t� �� �-���� �-I � t� � <br />�� � � � ���� � � �'� �M��� � <br />� �`�+,.� r r�r� � ��I' � � <br />Husin�s5 Fhonc � � � � � �� — � � ��.. ' <br />��r_sY;r� �o �'rkxatae� in �i'e};ard t� �ur�rnss�.r �.rc��S� <br />Na,n� <br />�ddr�ss <br />Ph�n� <br />I 1� [ ��i �-*tii M� � . �� t �J�--. � ��F14��� � <br />� � � ���� � <br />� �� � ��� <br />I hereby apply for the following license(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 />Cigarette/Tobacco Products <br />Eee <br />$100.00 <br />The undersigned applicant makes this application pursuant ��r a41 ilti� I�+uS �fthc 5t�tr of Ivl�n�rsr�ta an�i uJa[�u�� <br />as the Council of the City of Roseville may from time to tirn� p i, i r�ciudin�{ M ta c# 1 6. ��_ <br />� <br />Signature � _' <br />Date �' � � �-�� ' <br />If completed license should be mailed somewhere other than the business address, please advise. <br />���,������L�� :zr��:,�ir�. <br />