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CITYofORONO <br />Post Office Box 66*Crystal Bay, Minnesota 55323 •Municipal Offices <br />On the North Shore of Lake Minnetonka <br />FAX-47M510 I <br />APPLICATION FOR LICENSE TO SELL CIGARETTES AT RETAIL 19 <br />Orono Municipal Code Section 5.24 <br />fUZ <br />Name of Applicant k_i L'O • \ k <br />Mailing Address 3^33 t-<=» (i ^-p 0/1. <br />City/State/Zip Code \\AOf^Y<r-p /?}/\) <br />Phone Number -im -6^73 <br />Sales Location: <br />Name i <br />Street Address -^3*33 e p/, <br />Mailing Address ^79-AT)‘f‘ <br />Phone Number <br />Principal business carried on at this location <br />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 />Y May-June-July <br />_ Aug-Sept-Oct <br />Nov-Dec-Jan <br />LICENSE FEES <br />I <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: CIW^F^,ORO <br />Signature of applicant <br />Dated / - - W zy