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CITY of ORONO <br />Post Office Box 66* Crystal Bay, Minnesota 55323 • Municipal Offices <br />On the North Shore of Lake Minnetonka ADMINISTRATION -473-735S <br />FAX-473-0310 <br />(JAN 1.7 1997 <br />APPLICATION FOR LICENSE TO SELL CIGARETTES AT RETAIL <br />Orono Municipal Code Section 5.24 <br />Mailing Address '^O <br />City/State/Zip Code K\Jid Uiri <br />Phone Number ^ 7cP <br />Sales Location: <br />Name /)/Jd <br />• <br />Street Address 3 ?S /-fcP <br />Mailing Address /l/y?5T^3 ^ <br />Phone Number ^ 7/ ~~ CP ^jL <br />Principal business carried on at this location <br />s <br />^ niTiCU' <br />4. Method of Sales: Over Counter Other <br />I hereby make application for license to sell cigarettes at retail at the <br />above location subject to the laws of the State of Minnesota and the <br />ordinances of the City of Orono during the following quarterly periods: <br />Feb-Mar-Apr <br />May-June-July <br />Aug-Sept-Oct <br />Nov-Dec-Jan <br />LICENSE FEES <br />Expiration date of license, Jan. 31, <br />each year. Annual license fee is <br />$20.00. Where applicable, as in the <br />case of seasonal sales, this may be <br />pro rated by quarters, at $5.00 per <br />quarter. <br />Make remittance payable to: CITY OF ORONO <br />Signature of applicant <br />Dated <br />^Z<=-7 ~)