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cii 1 of <br />Post Ofllo* Box 66«Cry>tal Bay. Minn«aota55323*MimidpalOfBeM 413>73n <br />FAX-4734510 <br />APPLICATIOH FOR LICENSE 10 SELL CIGARETTES AT RETAIL <br />Ocono Municipal Code Section 5.24 <br />1. Name of Applicant ty/y///y AA:/\ IfJ^Zlsr'_ _ _ _ <br />Mailing Add-ess <br />19 <br />City/State/Zip Code 3 S~~K <br />Phone Number *7^ <br />2. Sales Location: <br />Name /Qyr — <br />Street Address <br />Mailing Address <br />Phone Number <br />^ l7/p CC^Y <br />3. Principal business carried on at this location <br />Ci?y iF Qum ymm cfficE TUUmTZ <br />5.00 <br />.00 <br />i3lT2UU^..01 ££» <br />Method of Sales: Over Counter ^ -rrss—=—(Vending machine sales prohibited pet Ordinance 81, 2nd Senes <br />Effective date 5/1/90.) <br />ISMMW)f <br />ordinances of the City of Otono during the following quarterly periods: <br />Feb-Mat-Apt LICENSE rEtfS <br />- - - -Mav-June-July^!!) Expiration date of license, Jan. 31, <br />-- - - paeh veat. Annual license fee is <br />Aua-Seot-Oct $20.00. Where applicable, as in the <br />- - - ’ ^ case of seasonal sales, this may be <br />Nov-Dec-Jan pro eated by quarters, at $5.00 pet <br />quarter. <br />Hake remittance payable to; CITT OF ORONO <br />Signature of applicant <br />Dated - - - - - - --—