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rnrwv'V CITY of080N0Po«tOfHo» Bom tt»Cryitol Bay. Wniiwot« 55323*Mwniripal (XBeM 47^7391 <br />FAX-4734910 <br />jypfUCJ^TlOM FOS LXCBHSB TO SELL CIGAEETTES AT RETAIL <br />Ocono Municipal Code Section 5.24 <br />19 <br />!• Naa« oC Applicant <br />Hailing Addceaa _ <br />Cl^-y/State/Zip Code &fiC <br />Phone Nuaber ______D ^ ______ <br />aj rr 3 ^ 7 <br />2. Sales Location: <br />Street Address <br />1 <br />Nailing Address <br />Phone Nuaber __ <br />AHX o ovu. . r< b <br />ciiy OF dfm) <br />FlHAfiCE OFFICE <br />lSU£i>im- <br />P.C.3 AitU M 'm <br />^7/- C <br />RECEIPJ-THm YOU <br />mmo cool Ml 709:E <br />Ay <br />3. Principal business carried on at this location fer/?^H__ <br />01/23/9 <br />Cl r <yir.v ffc'.t'Ctr' <br />4.Method of Sales: Over Counter Other <br />(Vending aaehine sales prohibited per Ordinance 81, 2nd Series. <br />Effective date 5/1/90.) <br />j hereby aake application for license to sell cigarettes at retail at the <br />ahoee location subject to the 'aes of the state of Minnesota and the <br />ordinances of the city of Orono during the following quarterly periods: <br />—-- -— LICSaSB FEESFeb-Nar-Apr <br />May-June-July <br />Aug-Sept-Oct <br />Nov-Oec-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 nay be <br />pro rated by quarters, at $5.00 per <br />quarter. <br />Make reoittance payable to: CITT OF ORONO <br />Signature of applicant <br />Dated ^ \ / 2. / /? <br />/.f <br />ak;