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CITYof ORONO <br />PMt Offio* Box 6£*Cr7Moi Boy. Miaocooto 5S323• Muakipol OtScM <br />On tAe North Shore of Lake Minnetonka ADMI.NISTHATION - 47>TJSi 3 <br />FAX-47^1. X'2, -- <br />pr-- <br />APPLZCATICHI POR LICENSE TO SELL CIGARETTES AT RETAIL <br />Orono Municipal Code Section 5.24 <br />1. Name of Applicant _ _ <br />Mailing Address *^^33 //7 f <br />City/S tate/2 ip Code \ <br />Phone Nuniber ________ <br />19_£5 l <br />2. Sales Locations <br />Name <br />eet Addres <br />'Pid.Ll-^ //a //) <br />Sfi^rp IL)^ <br />failing Address <br />Phone Nunber <br />j\La2 e 53-<#9z- <br />3. Principal business carried on at this location <br />(S <br />4. Method of Sales: Over Counter Other <br />" CT!Tul-~UIiiSiO <br />FINmLQEEJCE <br />n? 4 M “*i H »/VV aoj*i aa.vvvw <br />m rc>f <br />A iFUl 1 <br />' ui.r» i f <br />Ik V • <br />v> <br />O.VO V <br />RECEIPT-THm YOU <br />'^^yUEirruci tiC^A TL <br />(M /rVA/ A <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 />y Feb-Mar-Apr <br />X_ May-June-July <br />“SX Aug-Sept-Oct <br />Nov-Dec-Jan <br />LICENSE FEES <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 <br />Signature of applicant <br />Dated