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APPLICATION FOR LICENSE TO <br />SELL TOBACCO PRODUCTS AND <br />TOBACCO RELATED DEVICES <br />(Ordinance No. 164, Second Scries - Adopted 12/08>97) <br />Make check payable to: City of Orono <br />Mailing address:P.O. Box 66 <br />Crystal Bay, MN 55323 <br />1. <br />2. <br />FEE: $100.00 (February 1-January 31) <br />Applicant's Full Name <br />FIRST MIDDLE <br />Applicant's Home Address <br />DiL. <br />STREET <br />____________ <br />HOUSE NU^iBER <br />10N\U^ <br />CITY STATE <br />DATE <br />LAST <br />HOME PHONE <br />3. <br />4. <br />Applicant's Business <br />BUSINESSTYPE OF BUSINESJ <br />BUSINESS NAME <br />P.O. ^>y ?// <br />MAILING ADDRESS <br />BUSINESS PHONE <br />STREET ADDRESS <br />Nk^Wi <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.________^ t^c i^ v>^ ___________ <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. <br />Signa 44<A^ <br />Date <br />77>e ISSU9/K9 of § Hconso wxfer !Ns onSnsnco $hsl! .^e conskiorod a pnvHogo %od not on absofuto right of ODoScont <br />and ahaO not antitta tha holdar to an automatic ranawatoftha Ucanaa <br />1.L