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1. <br />:swo <br />APPLICATION FOR LICENSE TO <br />SELL TOBACCO PRODUCTS AND <br />TOBACCO RELATED DEVICES^ : <br />(Ordinance No. 164, Second Series - Aldopted 12/08/97) ^ ^ _pv \ V r <br />Make check payable to: City of Orono <br />^ * <br />Mailing address: P.O. Box 66 <br />Crystal Bay, MN 55323 <br />FEE: $100.00 (February 1-January 31) <br />Applicant's Full Nama <br />FIRST MIDDLE LAST <br />2. Applicant ’s Home Address <br />UViX \sD n \^V>c -c <br />HOUSE NUMBER STREET HOME PHONE <br />CITY >'• STATE ZIP <br />'»I3. Applicant's Business <br />4. <br />\ (D <br />BUSINESS <br />BUSINESS PHONE <br />3^•X\ <br />STREET ADDRESS <br />MAILING ADDRESS CITY \ zip <br />Describe how the actual physical exchange of the tobacco, tobacco product, or <br />tobacco related device between the customer and the licensee or empicy ee takes <br />place ^^6.N)ti^"S VWiL.. <br />/ HEREBY MAKE APPUCATION FOR LICENSE TO SELL TOBACCO. TOBACCO <br />PRODUCTS. OR TOBACCO RELATED DEVICES AT THE ABOVE LOCATION SUBJECT <br />^ f- TTiir- AIMCT T A AA/O TLiC OOf^/A/A A/O^Q (^ITY <br />\UcMDaVs r~^ <br />The issuance of a license under this ordinance shall be considered a privilege and not an absolute tight of the applicant <br />and shall not entitle the holder to an automatic renewal 0/ the license. <br />i2ittr.a