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r: <br />CITYofOROHM) <br />IW Offiet Bos 66*Cry«tel Bsy, Miiin«K>U 55323*Munidpol OfBcos , — <br />On the North Shore of Lake Minnetonka administration -473-735i <br />FAX - 47MSI0 <br />m' <br />APPLICATIOH FOR LICBNSB TO SELL CIGARETTES AT RETAIL <br />1C 19C2 <br />19 <br />Orono ‘lunicipal Code Section 5.24 <br />1.Naflie of Applicant <br />Nailing Address _A/i y ^ <br />Cl ty/S tate/2 ip Code X >1/Cx M /)/- <br />Phone Number y O ‘V y-/o <br />2.Sales Location: <br />Name ^ ^ <br />Street Address <br />SA A A/ <TiL <br />/:y^0 C6y^9 <br />-V / ^ gjyy y tWCW <br />OFFICE <br />13H200000 <br />01 CEM 20.00 <br />^ r/C^A- 71 20.00ULccm nm you <br />-y y,, ^U232310 COOl ROi T12:.-1 --------omo/\ <br />Nailing Address ^ <br />Phone Number ^ ^^ <br />2* Principal business carried on at this location / .5^/^ s <br />4. Nethod of Sales: Over Counter X Other <br />X hereby make application for license to sell cigarettes at retail at the <br />location subject to the lawsnboee location subject to tne laws of the state o^ Minnesota Md the <br />•tdinanoes of the City of Orono during the following quarterly periods: <br />Peb-Nar -Apr LICBUE PRES <br />w <br />Nay-June-July <br />Aug-Sept-Oct <br />Nov-oec-c^n <br />Expiration date of license, Jan. 31, <br />each year. Annual license fee is <br />$20.00. Nhere applicable, as in the <br />case of seasvnal sales, this may be <br />pro rated by quarters, at $5.00 per <br />quarter. <br />HsJls remittance payable to: CITT OP ORONO <br />Signature of applicant <br />V .•■t'-Dated <br />Miii