Laserfiche WebLink
4. <br />-«!S <br />•% '■% <br />APPLICATION FOR <br />SELL TOBACCO PRODUCTS /CN{g <br />TOBACCO RELATED DEVICES <br />(Ofdlimnco No. 164, SocuiuJ Sorlot • Adoplud 12/08/97) 3 ^ <br />li' <br />Make chock payable to: City of Orono ^ I <br />Mailing nddross:P.O. Box CC <br />Crystal Bay, MN 55323 <br />FEE: $100.00 (Koliruary 1-Jnnunry 31) <br />OAII <br />1. Applicant's Full Name <br />\ lutll <br />fh <br />MIUULK <br />_____ <br />IASI <br />2. Applicant's Homo Addross <br />MOUNL NUMUrU CjrRLLI M()MI IMIONI <br />t:i!Y QTAId ?ll» <br />Applicrint's Biislnoss <br />TYPConui.siNnia <br />AMY>#H4 <br />mi!UNI imNAMI <br />9xa <br />nuoiNdsumoNir*' ......... " <br />lilKI I I AlUmt.MS <br />(Pd', /!/ <br />MAH INUADDMI M!l <br />U fit y *rf fA /hj <br />C.IIV ;:h' <br />Doscribn how tho actual physical oxchango of tho tobacco, tobacco product, or <br />tobacco rolatod duvicn butwoun tho customor and tho liconsoe or employoo takes <br />placo.___^ __tkj. —......................................... <br />/ HI HHiY MAKI AIVLUyUlON I'CR HCllNi^f' 10 Sl lL 10lh\CCO, TOllACCO <br />riionm:i:i, ok ioiiaccoki u\udduvicl-sai ihi-ahovi locaiion suiotcr <br />lO II It IAWS Of- 11IL S TAW Of- MINNLSOIA ANU 11 It: OHUINANCES Of- IHU Cl IY <br />Of imONO. <br />Dll to <br />Th9 iMUiUHJi a/o undot thfi arilfi4hti:o du^ bo cxnidJoiod o t}iMo]fo ond trof on oboiJuto tigM of ffw ofipScanl <br />otHi ohoH !hM onttbo Itm htOiku to ait muhxnmtic mtowai o/ tfto Hconm <br /><AiiBl4Kir'lti3i*iS)N?^:?7sa Rri!rv rrt niuiSd r»vM«i n«v mNx5121 •