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CITY c/f ORONO <br />Post Offu'c Box 66•Crystal Bay, MinriestXi 55323• Municipal Offices <br />On the North Shore of Lake Minnetonka A DM IN ISTR.ATIOS - 473-7358 <br />FAX - 473-0510 <br />APPLICATION FOR LICENSE TO SELL CIGARETTES AT RETAIL 19 <7 ^ <br />1, Name of Applicant <br />Mailing Address <br />Otono Municipal Code Section 5.24 <br />IC h S I' LAcz /r) V <br />'j /i07R Loi! )p 11 Dk///9 <br />City/State/Zip Code P J ^ V <br />Phone Number _______________^ ^ 7 f <br />2. Sales Location-0 <br />Name ! t K I <br />Street Address <br />Mall' <br />Phone Number <br />T-S'j’yz- <br />A/x-iJ'7/ !<‘/7J <br />3. Pcincipal business cacried on at this location <br />4. Method of Sales: Over Counter K Other <br />Cl7) OF 0f<D,i0 <br />EI^AtiCE OFFICE <br />1311200000 <br />A< rCff 20 Ot <br />X <br />X <br />y <br />:X <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. <br />Ha>«« remittance payable to: CITY ,OR^P <br />Signature of applicant <br />Dated / / "•