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CITY of ORoi^B^l <br />Box«8*Crjrs*ai Bay. <br />On tht Sorih Short of Lakt Minnetonkm <br />S5323 • Miuufipal Oflkaa <br />AOM!>!SnUTTO'^ - «T>-73Jt <br />fAX-47^f^ 1 0 1994 <br />APPLICATIOT FOR LICEMSS TO SSLL CIGARETTES AT RETAIL <br />Orono Municipal Code Section 5.24 <br />1. Name of Applicant <br />Mailing Address _ <br />iiuuiMS-IJQU6itS-di& <br />—pfL4n-m <br />City/State/2ip Code <br />Phone Number _ _ _ _ <br />2. Sales Location: <br />Name _ __ <br />Street Address^S^-K*^^ <br />Mailino address_ _ _ _ _ _ _ _ _ _ __ <br />Phene Number <br />CITY OF Of<SiO^ <br />I O l\r»i^hr^ WN » 4 V <br />iTii ifW%tVV> A Ja AS. wvvv <br />At rzkiV4 V^wA <br />/ Lrrc T? <br />wh1«»wA <br />^\C <br />I 3.C <br />mVAARE UQUOWS WC <br />HtCEIPT'Tfi^iK YOU <br />sOy^AYO COOl FOl TOi' <br />__Cl/11 <br />, BOX 117 <br />3. Principal business carried on at this location <br />\ \ ^ V? D '^ V^5»,________ <br />icipal b <br />4. Method of Sales: Over Counter Other <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 />Feb-Mar-Apr <br />May-J une-July <br />V ___ Aug-Sept-Oct <br />V 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 OZ ORONO <br />Signature of applicant <br />Dated \ <■ <br />\