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CITY of ORONO <br />Post Office Box 66•Cryst.il Ray. .Minr.cs-.u 55;i23 • Muniripal Office* <br />On the North Shore of Lake Minnetonka AOMIMSTRATION -4"3-7J58 <br />FAX-473-0510 <br />£eb; <br />APPLICATION FOR LICENSE TO SELL CIGARETTES AT RETAIL <br />Orono Municipal Code Section 5.24 <br />2 1S93 <br />19 « <br />1. Name of Applicant <br />Mailing Address _ <br />WAYZATA COUNTRY CLUB <br />200 WAYZATA Er.VP <br />City/State/Zip Code <br />Phone Number _______ <br />WAYZATA. MN 55391 rrrv nr nnn«n <br />612 47j 894 6 <br />Fli^AHQE OFFICE <br />t 7‘ 1 :-nAriM <br />1..V4/VVV <br />fcV* <br />2. Sales Location: <br />Name ___ <br />01 QEH <br />CHECK TL 20. <br />HECEIPT-THm YOU <br />SAME V -EOVE <br />^-■:i7in r-AAi 001 T1I u\/ uw'i iik/A f <br />-----------------—— n 7» /r <br />Wfc/ V- <br />Street Address <br />Mailing Address <br />Phone Number <br />3. Principal business carried on at this location PRIVATE CLUB <br />4. Method of Sales: Over Counter XX Other <br />hereby make application for license to sell cigarettes at retail at the <br />bove location subject to the laws of the State of Minnesota and the <br />tdinances of the City of Orono during the following quarterly periods; <br />Fsb-Mar-Apr <br />Hav-’une-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 ®ay be <br />pro rated by quartets, at $5.00 per <br />quar ter. <br />(iake remittance payable to: <br />Signature of applicant <br />Dated <br />CITY OF ORONO