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y <br />APPLICATION FOR LICENSE TO <br />SELL TOBACCO PRODUCTS AND <br />TOBACCO RELATED DEVICES <br />(Ordinance No. 164, Second Series - A^dopted 12/08/97) <br />Make check payable to: City of Orono <br />Mailing address: P.O. Box 66 <br />Crjstal Bay, MN 55323 <br />1. <br />FEE: $100.00 (February 1-January 31) <br />Af^licant's Full Name <br />// ^O £. ,e <br />/-//- f9 <br />DATE <br />^ LAST <br />2. <br />FIRST MIDDLE <br />Applicant's Home Address <br />housenowber STREET <br />STATE <br />HOME PHONE <br />3. <br />4. <br />Applicant's Business <br />/2es7 <br />YPE OF BUSINESS <br />z^/2 4^7A 7C:>^C> <br />TYFE OF businl _. <br />BUSINESS NAME <br />BUSINESS PHONE <br />D ^ / <br />STREET ADDRESS <br />I? o I VC ^ ^ <br />MAILING ADDRESS <br />hSMAZXSi , <br />CITY ^ } 7IP <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 />plare. Kv/ M/kiHlfJB. T-H & F 7AkB^ <br />'■J I l>inF.U /N rUF^ K,TC.H £1\|------------------------------------------- <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 />Date <br />The Issuance of a Bcense under this ordinance shall be considered a privilege and not an absolute right of the applicant <br />end shall not enUtle the holder to an automatic renewal of die license. <br />121197 3