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ITYof ORONO <br />Post OfOfc Boxi66» Crystal Bay, Minnesota 55323* Municipal Offices <br />On the North Shme of^ake Minnetonka ADMIMSTR.ATION - 473.7358 <br />FAX - 4734)510 <br />^ O W • <br />APPLICATIOH FOR LICENSE TO SELL CIGARETTES AT RETAIL <br />Otono Municipal Code Section 5.24 <br />1. Name of Applicant f ^ < g/> ^ /U u/ <br />Mailing Address Hill h,-xl'V ^ <br />City/State/Zip Code _ <br />Phone Number <br />I <br />CTfcr <br />cpofa)mi <br />^ /4/u,f <br />>J 7/ - i //. «, <br />rrry nr npni^p <br />cruAiu-r nccrrcI aitniti/u u'l I .1/1. <br />01 CEH 20, •. <br />----Tk------20. <br />/-'iT r z <br />Sales Location: <br />Name <br />• • V <br />,^clcIPT-THM you <br />u-h^aa/) T/Vif riissjl ill. <br />Oi/U <br />Street Address <br />Mailing Address <br />Phone Number <br />5 C/2-^(AJ <br />,/ <br />AjAtL^A-A^i^ MJ <br />3. Principal business carried on at this location <br />-t / <br />4. Method of Sales: Over Counter L / <br />/ <br />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-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 the <br />case of seasonal sales, this may be <br />pro rated by quarters, at $5.00 per <br />quarter.