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CITYof ORONO <br />pwt Offi® B»U «*Cry®^ Bay. 55323• OeSc® <br />On the North Short of Lake Minnetonka AOMLNisnunaN .4i3>i3Si <br />FAX-41M514 <br />APPLICATIOM FOR LICERSB TO SELL CIGARETTES AT RETAIL <br />Ocono Municipal Cod« Section 5.24 <br />// U//^A1, Name of Applicant ____ <br />Mailing Address Af LC' Li >. --------------— <br />City/State/Zip Code - -/77/ J S 2tf-il. <br />Phone Nuabet <br />2. Sales Location; <br />Name_______/O P lUCl_____^C* / /r <br />ClVf OF OR lNQ <br />£ F«i5iiT^ ijKKJCF <br />1311200000 <br />01 OEHrucr\‘ Tiw« *wwA 11» <br />C <br />Street Address SlLo . /x- U’A -z rf/u. <br />Mailing Address ________________________ <br />Phone Number /^/2 - VJ •• 7oM7 ---------- <br />u lJ <br />^ V • V <br />"’v • 0 <br />hFiFJri-TH^K <br />H2y4i20 CCOi kOl T14 <br />--------------------Oi/lZ <br />3, Principal business carried on at this location <br />5 /^A/ z> /-y fu r (:F j~/7^/C' £r <br />7^ <br />4. Method of Sales: Over Counter Other <br />I her.by mak. appli.=ation £o. license to Itl <br />above location subject to the laws of . ~ Quarterly periods: <br />ordinances of the City of Orono during the following guart^^iy F- <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 <br />$20.00. Where applicable, as in the <br />case of seasonal sales, this may be <br />pro rated by quarters, at $5.00 pet <br />quarter. <br />Make remittance payable to: CITE OF ORONO <br />Signature of applicant <br />Dated /- - 7^: