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1 <br />I <br />crnrofCMtONO <br />Pmi Ofliet Bob 8S«CfyBt«l Bay. MinaMOU SSSO^Muidpal OOkM <br />V'' ■ <br />S’On Uu North Short of Lake Minnetonka <br />>- <br />AOMl.NIsnUTION - 47J.735I <br />FAX-473451* <br />imXCaTIOa FOR LXCBHSB to sill CX6ARBTTBS AT RETAIL <br />ts. <br />y<' <br />r'/ <br />1. Hbb« of Applicant <br />Mailing Addcesa _ <br />Orono Municipal Coda Section 5.24 <br />s iflat <br />./i j -r r ’*%. ' • / <br />4// 7 7 </^ . ^/■^ • ■ <br />City/State/Zip Code • <br />Phone Noaber <br />/ . . / <br />' J- V // •.s <br />C- ^ -- V <br />l!v <br />fj: <br />2. Sales Location: <br />/*> .M, /I rrRaae <br />r. "k ■ •fc;- <br />7 <br />,. V /•- *■. <br />ii?s' <br />tt/.' ■?-V5 <br />l'4-V ■ <br />Stseet Addcesa _ <br />Nailing Address _ <br />Phone Nuabec c-» ^ 7/ ~ >s s ^ <br />N./ i,--. _ <br />> •./ - /__//^ 1 •) <br />w ^ — <br />ciiY cfom <br />VI i AWI* <br />♦7< ^ -•"'•‘WAHA 4 ^ v.'v«iar <br />3* Fciaeipal business carried on at this location <br />‘1, • r* • ^ <br />^ • “f' / * ) -''___________________:___r^ -----------------_^— <br />1 .TW <br />a tSit <br />T 20.fi-.yS rr&T_riai <br />.twUWAI t Tam m <br />■ <br />rvi^.i) ccuns fi no <br />Ol/OM. <br />Method of Sales: Over Counter <Other <br />P"heseby Make amslioation for license to sell cigarettes at retail at the <br />^ ilbo^a location subject to the la^is of the state of Minnesota and the <br />^ Msdiaanoes of the City of Orono during the f.*'llowing quarterly periods: <br />/<• <br />lil-I <br />rebHiar-Apr <br />NayJune-July <br />Aag-Sept*Oet <br />Mov-Dee-Jan <br />LZCBBS F] <br />Bspiratioa date of license, Jan. 31, <br />each year. Annual license fee is <br />$20.00. Where applicable, as in the <br />ease of seasonal sales, this nay be <br />pro rated by quarters, at fS.OO per <br />quarter. <br />Nwe senittance payable to: jdXrOT OMOMO <br />my <br />P-W-& ^ . <br />Signature of applicant <br />Dated <br />r /■ <br />/ /' <br />liii-'r •-i