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CITY of <br />Poal Office Box 66»CryetxI Bay, Minneaota <br />FAX-47M510 <br />Tj llAlIJ <br />APPLICATION rOR LICENSE TO SELL CIGA^TTIg^JT,!^^^^ <br />Orono Municipal Cod^ Section 5^ <br />1. Name of Applicant A -i/l ------------------------------- <br />Mailing Address A^, Y.'lJ ..O U’ \0 ? ?A <br />City/State/Zip Cod'? Ji\ <br />Phone Number <br />2. Sales Location; <br />*vrv ,T r -D'v'iT <br />u A I ! u r <br />Name <br />Street Address <br />Mailing Address <br />-S •'!A'A'Ra3 DRUG <br />ORci-.f^c UrilVE <br />NAVAKflE. MN <br />^ I rr'i^L u uT r 1 L u <br />’ * ‘f ' . r - ia X..V w vv V <br />-1? C- n:^ <br />w J. *zL*\\ <br />iniiiS ti ^.vv-..yp /- / w^A-v YOU <br />Phone Number <br />a)yi nOl T14: <br />Ai /V.* <br />VX/ W'V. <br />3. Principal business carried->on at this location <br />_________________________________ <br />'• 15i:;^tnr.«itn; S^US ^:^hrbit ed pe^To -TdiHancrri^ ^-d Serl^ <br />Effective date 5/1/90.) <br />: hereby make *°'he ‘ lawV ot the^S tatVVf ^MinnesotV^nd the <br />Irdinances^of the City ot Orono during the following quarterly periods: <br />LICENSE FEES <br />May-June-July <br />Aug-Sept-Oct <br />Nov-Dec-J an <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 quartets, at $5.00 pet <br />quartet. <br />«lake remittance payable to; CITY OF MONO <br />Signature of applicant <br />Dated