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P:. <br />5'‘ <br />§ <br />CITY or ORONO <br />PmI Oflle* Bm M*Cryital Bay. Miaacaota S6323*Maaidpal OIB<9«a 473.7351 <br />FAX-4734510 <br />AFTLXCATlOn FOR LXCBHSB TO SELL CIGARETTES AT RETAIL <br />Ocono Municipal Code Section 5.24 <br />19 <br />1. Ebb# of Applicant <br />Mailing Address _33.S3 !! •■> f /Pr *• <br />City/State/Zip Code <br />Phone Number <br />yy)rO n t .4 ises- <br />2. Sales Locationt <br />Name _ _ <br />Street Address <br />Nailing Address <br />Phone Number <br />D <br />3o Principal business carried on at this location <br />will wr wnwifw <br />FimCE OFFICE <br />iJi 1200000 <br />01 QCH 20. (» <br />LutCk R 20,00 <br />RE^IPT-Wm YOU <br />nJJ2490 LOOl liOl liOi- <br />01/14/9 <br />4. Method of Sales: Over Counter Other <br />(Vending machine sales prohibited pet Ordinance 81, 2nd Series. <br />Effective date S/1/90.) <br />X hereby make application for license to sell cigarettes at retail at the <br />Hbove 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 />^ Peb-Mar«Apr t <br />V May-June-July <br />Aug-Sept-Oct <br />Nov-Dec-Jan <br />Expiration date of license, Jan. 31, <br />each year. Annual licenfe 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 />K%ke remittance payable to; <br />Signature of applicant <br />Dated /- y-