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CITYofORONO <br />Post Office Box 66»Crysul Bay. MinneaoU 55323 •Municipal Offices <br />On the North Shore of Lake Minnetonka <br />rrr" <br />• » I <br />• •• Vr • -r <br />ADMIMSTR-ATtON - 473-7358 <br />FAX - 4734)510 <br />JAN t ^APPLICATION FOR LICENSE TO SELL CIGARETTES AT RETAIL l9 i <br />1, <br />I 2. <br />Orono Municipal Code Section 5.24 <br />Name of Applicant C•./ r ///i i ' t- <br />Mailing Address .S ^ ^ ^ '*y C ^ 1 ■ Cr -w / U <br />Citv/State/Zio Code ^ <br />Phone Number <br />... -. -: 1 u: n.* <br />Sales Location: <br />Name t <br />-‘v—* ’ <br />({ ( t *>*i‘ A* <br />Ji... <br />Z\i i *• <br />».* ■ VV <br />’*£m *l ^J.vv <br />. ... - -i ; -4r. <br />Street Address <br />J <br />y ‘-fl Cj O s''* '■> <br />HNV'VV w -w .m ^ <br />V i A <br />Mailing Address O , r\ / >./ y* <br />» V . <br />Phone Number <br />f <br />s' <br />3. Principal business carried on at this location f —S C L.- A-A . O.'i I CT-i <br />4. Method of Sales: Over Counter Other <br />/ <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 />(/Peb-Mar-Apr <br />May-June-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 may be <br />pro rated by quarters, at $5.00 per <br />quarter. <br />U Make remittance payable to: CITY OF ORONO <br />k <br />w <br />Signature of applicant <br />Dated <br />.1 <br />/w/I