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APPLICATION FOR LICENSE TO <br />SELL TOBACCO PRODUCTS AND <br />TOBACCO RELATED DEVICES <br />(Ordinance Nn. 164, Second Series - Adopted lltW97) <br />Make check payable to: City of OroDO <br />Mailing address: P.O. Box 66 <br />Crystal Bay, MN 55323 <br />FEE: $100.00 (February 1-January 31) <br />DATE <br />1. ^pii.plicant'8 Full Name <br />i<Lliwe.o _____u)^ <br />FIRST MID <br />ujy <br />IDLE LAST <br />■ 7 <br />HOUSE NUMBER STREET <br />^S~3S9 <br />HOME PHONE <br />CITY STATE <br />3. i^pllcant's Busine^ <br />(2ro <br />IS <br />-m3 <br />TYPE^E BUSINESS . <br />S usinessnam T''^ <br />BUSINESS PHONE <br />STREET ADDRESS <br />1^1 S^39d< <br />CITYMAILING ADDRESS <br />Describe how the actual physical exchange of the tobacco, tobacco product, or <br />tobacco related device between the ^stom^and the licensee or employee tak^ <br />place. 5 s» <br />}c<L^ 0/1 CL A X/-C /it ^ <br />ne ^stom^ <br /><^ae5 o4^r7^^ crr^t7/~ <br />^ ^ 3:fAyoJ/ao/> . /yo/r/^A <br />fT7D. <br />I HEREBY MAKE APPLICATION FOR LICENSE TO SELL TOBACCO. TOBf CCO <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 />ignature <br />d/-dfY'dCJy^ <br />Data <br />TTia Issuance of a Ocansa undar this oidlnanca ahaa ba eonsidarad a prMhga and not an abaoluta d^t of dta applicant <br />and ahaU not anOtla lha hoUar to an automatic nnawaloflha tcanaa. <br />121 tar 3