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0 <br />ji lit <br />APPLICATION FOR LICENSE TO <br />SELL TOBACCO PRODUCTS AND <br />TOBACCO RELATED DEVICES <br />(Ordintace No. 164, Second Seriu • Adopted 12/08/97) <br />Make check payable to: <br />Mailing address: <br />1. <br />FEE: $100.00 (February 1-January 31) <br />Applicant's Full Name . <br />City of OroDO <br />RECEIVED <br />P.O. Box 66 <br />Crystal Bay, MN 5532^ t-/ 0 2 2004 <br />CITY OF ORONO <br />DATE <br />FIRST MIDDLE LAST <br />2.j WL' <br />HOUSE NUMBER. . / oincci <br />CITY ^ STATE <br />STREET <br />3. Applicant's Business <br />TYPEOF^SINESS. T ' <br />HOME PHONE <br />S JSINESS PHONEV fir-fc.w» www.i^»-ww PWTQiniCOO rnwrst ^ <br />VV-l e^v. <i< t - __ <br />MAILING ADDRESS ' *=C<'et O •< \ <br />4.Describe how the actual physical exchange of the tobacco, tobacco product, or <br />tobacQQjelated device between the customer apd the licensee or employep takes <br />Dlace.^X^’^^rAa <br />/ HEREBY MAKE APPUCATION FOR LICENSE TO SELL TOBACCO. TOBACCO <br />PRODUCTS. OR TOBACCO RELATED DEVICES AT THE ABOVE LOCATION SUBJECT <br />TO THE LmS OF THESTATE OF MINNESOTA AND THE ORDINANCES OF THE CITY <br />OF OROI\ <br />Signatura <br />Th« Issu»nc9 of thetnse under this ordinance afta# be considered a prMege s.xf not an absolute tight of tf?« Vfit’ant <br />and shaB not entWe the Mder to an automatic renerral of the license <br />L '• ? - Phone: (952) 249-4606 /Fix; (952) 249-46(6 / wwy .CLorono.ton.u.. ' _ l.