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CITY of ORONO <br />Tost Office Box 66•Crystal Bay. MiijnesI la 5S323 • MunidpaJ Offices <br />On the North Shore of Lake Minnetonka administration - 473-7358 <br />FAX - 473-0510 <br />APPLICATION FOR LICENSE TO SELL CIGARETTES AT RETAIL 19 <br />Orono Municipal Code Section 5.24 <br />1. Name of Applicant <br />Mailing Address ci<3<r7' ^ ^ ^ <br />'7^City/State/Zip Code ^ <br />Phone Number >^73 — 7^ /* <br />2. Sales Location: <br />Name 1*3 j> £> a.. O^-tyTa/2, <br />Street Address _ <br />Mailing Address <br />Phone Number <br />arr of ordhq <br />rr#M4«-r nrcrrc <br />^~^!20000GX %/A X <br />01 QFH 20.C <br />20.C <br />y":$ — r’ <br />iitiS It <br />RECEIPT-TH^:< YOU <br />JOdWTCOOTWl 715 <br />01/21 <br />3. Principal business carried on at this location — Oc 1 ■£_ <br />^ _ .t <br />4. Method of Sales: Over Counter AT Other <br />I hereby maxe 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 LICENSE FEES <br />May-June-July <br />Aug-Sept-Oct <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 per <br />quarter. <br />Make remittance payable to; CITY OF ORONO <br />Signature of applicant <br />Dated 9^