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APPLICATION FOR LICENSE TO <br />SELL TOBACCO PRODUCTS AND <br />TOBACCO RELATED DEVICES <br />(Ordinance No. 164, Second Series - 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 />/D <br />1. <br />2. <br />FEE: $100.00 (February 1-January 31) <br />Applicant's Full Name <br />____^ r a >o~t~______T^USiejl <br />FIRST MIDDLE <br />Applicant's Home Address <br />7/0 /O. <br />HOUSE NUMBER <br />DATE <br />CITY <br />STREET <br />rObLtnl /^aJ <br />STATE ^ ZIP <br />LAST <br />CL 13.) <br />HOME PHONE <br />3. <br />4. <br />Applicant's Business <br />Q>o I'f* Coarj CLIZ) H7i - sv-r? <br />TYPE OF BUSINESS <br />^ol'f * <br />BUSINESS N^E ^ <br />'7/0 /O^ Skart^ Or, O) , <br />BUSINESS PHONE <br />VOS" A*. <br />« <br />Y^rrrx (^ritJ <br />STREET ADDRESS <br />/^OCtA cf <br />MAILING ADDRESS 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. C.Us4o,nir ils Kj 'I-O fiUreJtasC’ O. 'ft(>eicco jP<~w«/c<cV' • £>/o<j /7c/“ <br />^Q«/katr , . Cdurri-i^ htXfi Jc'- <br />4cfegCfr» (s c(rciiJt^ <br />/ HEREBY MAKE APPLICATION FOR LICENSE TO SEU 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 />hSO-9^ <br />Date <br />77)9 issuanc9 of «license under this ordinance shall be considered a privnege and not an absolute right of the applicant <br />and Shan not entitle the holder to an automatic renewal of the license. <br />121197 3