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% <br />APPLICATION FOR LICENSE TO <br />SELL TOBACCO PRODUCTS AND <br />TOBACCO RELATED DEVICES <br />(Ordinsinrr No M»4. Sfioml Serif* • \(lo|itciJ 12 UM ‘***) <br />Make check payable to: <br />Mailing address: <br />City of Orono <br />P.O. Box 66 <br />Crystal Bay, MN 55323 ' ? ? T ‘ <br />FEE: $100.00 (February 1-January 31) <br />1. Applicanfs Full Name <br />6raAi" <br />nr<si <br />/I <br />2. Applicant's Home Address <br />__'IfO__S>V\«afe ___ <br />’’ ' "'suw'tTr <br />f^OUAci. P? M <br />f'20-03, <br />• • ■ ‘“’'■‘OiVo <br />DATE <br />lAsr <br /><?C1- ^7^ . <br />CITY STATE ZIP <br />3. Applicant's Business <br />vool A (3uurs •«- <br />auiTYPE OF BUSINESS <br />/val(eo<ct»^ GoIL ti Qroop, Jlhc <br />BUSINESS NAME 0 ' • <br />"7/0 • JShO'O Ar* U) • <br />PlCiA0\t4 <br />MAILING ADDRESS <br />^7^- 3^S^l <br />J'hc. . <br />BUSINESS PHONE <br />Vor /O./frm /)c • <br />a STREET ADDRESS <br />Drono.SSSi,*/ <br />CITY <br />Describe how the actual physical exchange of the tobacco, tobacco product, or <br />tobacco related device between the customer and the licensee or employee takes <br />place. 'to ^M^ciuuo <? 'iobacfo «/uc4~ • 74 */<g| noi’ <br />i Sr t Cc«»»t<** U! H Oif^ Qtvf~ <br />4^l)<«fcc> piaclut.^ II ^rCiyy CK. fA-C ■ <br />/ HEREBY MAKE APPLICATION FOR LICENSE TO SELL TOBACCO. TOBACCO <br />PRODUCTS. OR TOBACCO RELATED DEVICES AT THE ABOVE LOCATION SUBJECT <br />TO THE LAWS OF THE STATE OF MINNESOTA AND THE ORDINANCES OF THE CITY <br />OF ORONO. M y <br />v/ <br />l-20-O-i <br />Signature Date <br />The issuance of a license under this ordinance shaO be considered a privilege and nol an abaoiute right of the applicant <br />and shad not entitle the holder to an automatic renewal of the license. <br />iS^^d¥o;^7Cry$tUBv.>lN55323r^^^ <br />/ Fax: ;45-;u. .>>¥W.ci.ofono*.inn m