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CITY ORONO <br />Fost Office Box G6» Crystal Baji, Miinesota 55323* Municipal Offices <br />On the North Shore of Lake Minnetonka ADMIMSTR.AT10V - Ali-'Jf* <br />fA.\-47>Of 10 <br />APPLICATION FOR LICENSE TO SELL CIGARETTES AT RETAIL I <br />Ocono Municipal Code Section 5.24 <br />1. Name of Applicant HicK^el <br />Mailing Address (ViOriVv SViQre PplUe <br />City/State/Zip Code OpOHO NA\nT\_____Fi 5^ ^ | <br />Phone Number ^ ^ I O | ^3 <br />2. Sales Location: <br />Name <br />Location: <br />Cri^r'1.5\ Bay SerUtce <br />street Address ^ ^ M Q tH" W <br />Mailing Address CO ^___________________________ <br />Phone Number M ^ | O I ________________________ <br />Or i >/g <br />/ ttV r/f nft>rfAfn <br />W X f i i/< i.'l <br />cy\iAAirr nccTr^ <br />I VI I <br />1 4 ^ ’ •- » It >» l» <br />OA r^ /«v <br />t- f <br />01 Jf.v <br />—K :o.c <br />itECElPT-THAiiK YOU <br />L.L f tf iS <br />3. <br />^ ^ l\UVL.AI I t liruui • %/w <br />Principal business carri6d on at this location oC? \/ 1 CvOl <br />C4e^'\lor\ _________________________ <br />\/A/ <br />4. Method of Sales: Over Counter other <br />I hereby make apolication 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 />VL Feb-Mat-Apr <br />May-June-July <br />^ Aug-Sept-Oct <br />LICENSE FEES <br />Nov-Dec-Jan <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 pet <br />quarter. <br />Make remittance payable to: CITY OP jJ)RONO <br />0 <br />Signature of applicant <br />Dated .QLnrb^lv. fqqg