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CITY of ORONO <br />Post Office Box 66 •Crystal Bay, Minnesota 55323• Munidpa] Off es <br />On the North Shore of Lake Minnetonka AD.NJIM5TR.AT10N - 473-7358 <br />FAX-473-0310 <br />Pan' '2 fe i993 <br />APPLICATION FOR LICENSE TO SELL CIGARETTES AT RETAIL <br />Ocono Municipal Code Section 5.24 <br />*• • <br />C.i I or <br />CRONO <br />ClEdO^S <br />Name of Applicant /Z KW /Z' <br />Mailing Address <br />City/State/ZipCode M. (F ,<ty /) f J C <br />Phone Number //7Z — <br />Sales Location; <br />Name /UA JiA a <br />Street Address <br />Mailing Address y< S ^ //AV/iKiPG. j <br />Phone Number 1/7/ - ^ 7'// <br />3. Principal business carried on at this location <br />Method of Sales; Over Counter Other <br />—cm eF <br />Fisms OFFICE <br />isiiCMm------ <br />01 QEi 20. <br />R 20.CHECK <br />WUPT-Vm YOU <br />S2641S0 cool ROl U <br />01/2 <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 />y <br />/ <br />X <br />/ <br />\ <br />Feb-Mar-Apr <br />May-June-July <br />Aug-Sept-Oct <br />Nov-Dec-Jan <br />\ <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 pet <br />quarter. <br />Make remittance payable to: CITY OP <br />Signature of applicant <br />Dated