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CITY of OROlyP *rn <br />Crystal Bay. MianaaH S&323 • <br />On the North Shore of LaMt Minnetonka <br />admi .^btration - <rj-7ja <br />CU1.47VMM 3 <br />- .JAN 1J 199^ <br />applicaticw for license to sell cigarettes at retail <br />Ororio Municipal Code Section 5.24 <br />1. Naa# of Applicant ^ <br />Mailing Address _ _ <br />Lt^oV <br />City/State/2ip Code ^ <br />Phone Nuaber _____7f ^^^ <br />2. Sales Locatyjn: <br />/!/fit/Name fV\C^C^71^ <br />street Address ^3Ul) ^ f^e^- £ <br />Hailing Address ^Z" <br />Phone Number ____ <br />rrrv nr n(jn^wail w‘« v/Mwiw <br />• w*l » AW-^ <br />-------—2C.CQ <br />rurrv n ^0,00 <br />fim-Vou <br />3. Principal business carried on at this location <br />s^ytWO CvOl fiCl Tir;t <br />-Vi/13/ <br />4. Method of Sales: Over Counter Other <br />I hereby make o° Vhe^ s'VatV'of Minnesota and the <br />:rd7nan=esVt the'city of 0?on ‘o during th- following quarterly periods: <br />Feb-Mar-Apr <br />May-June-July <br />Aug-Sept-Oct <br />Nov-Dec-Jan <br />I <br />LICENSE FEES <br />Expiration date of license, Jan. 31, <br />each year. Annual license fee is <br />$20.00. Where applicable, as in t <br />case of seasonal sale?, this <br />pro rated by quarters, at $5.00 per <br />quarter. <br />Make remittance payable to: CITT OFORONO <br />Signature of applicant <br />Dated <br />J <br />V /-