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r <br />fi4 <br />1 <br />4. <br />APPLICATION FOR LICENSE TO <br />SELL TOBACCO PRODUCTS AND <br />TOBACCO RELATED DEVICES <br />(Ordinance No. 164, Second Series - A'dopted <br />Make check payable to: City of Orono 2 5 ]99g <br />Mailing address: P.O. Box 66 ui 1 y ur ORO(\'o <br />Crystal Bay, MN 55323 <br />FEE: $100.00 (February 1-January 31)A-^A-i^re <br />1. Applicant'& Full Name <br />MIDDLE <br />'Cr <br />LAST <br />2. Applicant's Home Address <br />vr <br />HOUSE NUMBER <br />CITY <br />i\yp___M (IV f\/u <br />STREET . ^ HOME PHONE <br />3. App)Ucant's Business <br />TYPE OF BUSINESS /A/ft LAtJe^ <br />BUSINESS NAME <br />MAILING ADDRESS <br />-rf-^U <br />BUSINESS^^NE SI <br />STREET ADDRESS <br />/>Ae> <br />OTY ZIP <br />Describe how the actual physical exchange of the tobacco, tobacco product, or <br />tobacco related device between the customer and the licensee or employee takes <br />place.__________________________ <br />StCLL m f 4/ <br />I HEREBY MAKE APPLICATION FOR LICENSE TO SELL TOBACCO. TOBACCO <br />PRODUCTS. OR TOBACCO RELATED DEVICES AT THE ABOVE LOCATION SUBJECT <br />TO THE LAWS OF THE STATE OF MINNESOTA AND THE ORDINANCES OF THE CITY <br />Date <br />Thn Issuance of a license under this ordinance ^aO be considered a privilege and not an absolute right of the applicant <br />and shall not entitle the holder to an automatic renewal of Ihe ffcense. <br />121197 3 <br />.'•v u4^.'- <br />I nfii I -Ti I ~i~mmii'Tfifhi^‘TTm~nfnTTii riira a- - ■ -• —------------------------------------ - ■ ------—- pv^.ifMY^AJ nvi'fnritfk/iriAiirimAL9crwtiii.*nfe .. .> - ..J