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1. <br />2. <br />3. <br />4. <br />APPLICATION FOR LICENSE TO <br />SELL TOBACCO PRODUCTS AND <br />TOBACCO RELATED DEVICES <br />(Otdinanc* No. 1«4. Sacutid Sarlo* • Adoplail 12/0«m7) <br />Make chock payable to: City of Orono uV <br />Mailing address: P.O. Box 66 <br />Crystal Bay, MN 55323 <br />FEE: $100.00 (Pobiuuiy 1-January 31)17 H <br />OAII: <br />A^llcant's Full Name <br />I Iaoimaa <br />iiu.sr MIOULn “ <br />Oalviviv- <br />iA;;t <br />Applicant's Homo Address <br />IKHI.M NUMIII l<OTRCI r <br />aiv lilAII <br />n^stl <br />/II • <br />HOMCI'HONI <br />Applicant's Business <br />piidAlr 0#||- <br />>'1*15 oi mmiNi :i;i ' . <br />HilJ 6*U Jac/‘ <br />ifllNI ;i!INAM <br />foui^lv (fUb <br />i in <br />UU’JINLSHPHONI: <br />mi niMH I AODMi ;::i <br />MAII INn AIMlId .Mi <br />O^vnb <br />Cl IV <br />irV/H <br />/If* <br />Describe how the actual physical exchange of the tobacco, tobacco product, or <br />tobacco related device between the customer and the Iconsoe or employee takes <br />place. hysaP >v» |ty w«lK JIm. ^At ama, nOtvihM <br />^IkL . <br />I HUH HY MAKf ArmCAIION fOH UCHNSI TO SUI JOnACCO, lOHACCO <br />f'nonUCHi, OH IOHACCi>Ht lAIhl'tHtVICLSAI I HtAtiOVn OCA I ION SUHJr.CV <br />Hf: rOAH. Of MINNI SOIAANI) ffft OHDINANCt SOf- IHl. CIIY <br />lUyiitiliitfi ^Dot!! <br />I/H. ,^0 IH-nnm miff tN$ orJmiCi ifiatN> 0 mnimtf 0,, 0h0,*,H> rtuMitw i^pttmn <br />0iHf 0h0K iHtI mtttah th0 tH>ht0i At m M/ftvrianit nin#Wi/C>7(D« AcnVo. <br /><<0: ^.!!XW>3: rvli:riiK/t.V^axf:rMXnr4 KTi «t l n