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CITY of ORONO <br />Post Office Bok 66»C t:^sUI Bay, Minnesota 55323•Municipal Offices <br />On the North Shore of Lake MUmstonka ADMINISTRATION - 47M358 CC« ( <br />FAX-473-05)C' 2. 4. <br />r- rt <br />APPLICATION FOR LICENSE TO SELL CIGARETTES AT RETAIL <br />Ocono Municipal Code Section 5.24 <br />1. Name of Applicant j^//r'7 /^ ________ <br />Mailing Address ^ 'TbUil , <br />19^7 <br />City/State/Zip Code , MfJ. <br />Phone Number _ _ _ _ _ _ _ _ _ _ _ _ <br />2. Sales Location: <br />Name <br />X• <br />Street Address tyQ <br />Mailing Address A/AV'AtZjd.l^ , /i'J/i). <br />Phone Number V^7 / " (c> Cc-> <br />3, Principal business carried on at this location Aj <br />Method of Sales: Over Counter Other /^yfer/y^c^_ <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 />iX Feb-Mar-Apr <br />May-June-July <br />Aug-Sept-Oct <br />LICENSE FEES <br />Nov-Dec-Jan <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