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CITYof <br />~ j <br />Po9t OtTice Box 66 • Crystal Bay. MinnesoU 55323 • Municipal OfBcaa 47J.735i <br />E\X - 473-0510 <br />cpo 2 1995 <br />APPLICATION FOR LICENSE TO SELL CIGA^TTES ^ RETAIL <br />Orono Municipal Code Section 5.*2 <br />19^3 <br />r\fsg.o E>l r1. Name of Applicant __ _ _ _ _ _ _ _ <br />Mailing Address 333 3 I <br />City/State/2ip Code KitQYJ/9-y^^-f <br />Phone Number C> *7 / " - - - - - --- - - -- <br />Sales Location: <br />Name <br />Dr- A/AYJ/hCAt /^'•J <br />ilTTr wf <br />’ i ■ ' f *f : vn <br />A w'J. V VV'V____ <br />vi i.v«v <br />- i,k._ 1 u, <br />* * • i _ m • rl itJJ <br />t-W'Vi MV A » -i V <br />V_ <br />Mailing Address ^Th/y t-_ _ _ _ ___ _ _ _ _ <br />Phone Number _ _ _ _ _^ 73. <br />3, Principal business carried on at this location <br />4. Method of Sales: Over Counter OtherMetnou ot aai’sai - - - - --— - _—_——— <br />(Vending machine sales prohibited per Ordinance 81,2nd <br />Effective date 5/1/90.) <br />[]aa71^ <br />es.yi <br />I hereby make application for license to sell cigarettes at '«tai^ <br />above location sub ject to the laws of the State of ' <br />ordinances of the City of Otono during the following quarterly perio s. <br />LICENSE FEES <br />9< <br />?eb-Mar-Apr <br />May-June-July <br />"y Aug-Sept-Oct <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: CITO OF ORONO <br />Signature of applicant<jg^ <br />Dated / -