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CITYof ORON J <br />Port Offiot Bo* 66»CryoUl Bay, Minnoooia 5S383*Mumdp«l Offlcrt <br />On the North Shore of Lake Minnetonka administration -473-T3SI <br />FAX-47M9I0 <br />lumxaiTioH 9/ <br />Ocono Municipal Code Section 5.24 <br />I* Blase of Applicant __ <br />Nailing Address Rr < <br />ra n /■ £1 <br />t 'i <br />MuCity/State/Zip Code _ <br />Phone Nuaber V 7 • t 7 <br />%m Sales Location: <br />Rase tLy /5 <br />Street Address <br />Hailing Address <br />Phone Nuaber *f 7J? <T' <br />U1 fj/f <br />l*LJ jtc:29/ <br />3* Principal business carried on at this location (PcLfL <br />4. Method of Sales: Over Counter Other <br />li lieeehv aahe anplloation for license to sell cigarettes at retail at the <br />Llwee location subject to the lavs of the State of **^*'"®*®^*.^^ <br />Itsdinanoes of the city of Orono during the following quarterly periods: <br />reb-Har-Apr <br />Nay-June-July <br />T.Trwata VRBS <br />Aug-Sept-Oci <br />1lov*0ee<-Jan <br />Expiration date of license, Jan. 31, <br />each year. Annual license fee la <br />$20.00. Rhere applicable, as in the <br />case of seasonal sales, this nay be <br />pro rated by quarters, at $5.00 per <br />quarter. <br />(alia xaaittanoe payable to: CZTT OR OMNO <br />Signatttse of applicant <br />bated <br />% <br />ikAj^