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CITY of ORONO <br />0«k» Bo» 6««Cry^’ 553S3*M«uo»^ Oflk- <br />On the North Shore of Lake Minnei -inJta ADMI.MSTRATICN - 473-733 <br />FAX - «73«10 <br />HifFLTCATIOH FOR LICENSE TO SELL CIGAREWBS AT RETAIL <br />Orono Municipal Code Section 5.24 <br />19 94 <br />1. Name of Applicant <br />Mailing Address <br />City/State/Zip Code wayzata, MN 55391 <br />Phone Number __________t612) 473-8846 <br />2. Sales Location: <br />Name ___________ <br />SAME AS ABOVE <br />Street Address <br />Mailing Address <br />Phone Number ___ <br />rfTV nr <br />hlSANZE OFRCE <br />1511200000 <br />Ai rcy <br />V J. 4^1* <br />'yA /) ' <br />a, V' • V V <br />i. ^ • vvCHECK Ti <br />RiCElPT-THUKK YOU <br />iLfJiCi 712- <br />01/20. <br />3, Principal business carried on <at tnis location PRTV^TF: CLUB <br />4, Method of Sales: Over Counter Other <br />I hereby na.e application license to %=',\V’orMinne7c\^^^ tSi <br />l^li^ancL^ofThe^cft^ of o1ono'dus!:| the following gaattesly periods: <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 fee is <br />$20.00. Where applicable, as in tne <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 OF CRONO