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C-IX 1 OiPom Offic* Box 66«CrysUi Bay, Miiui«oU S5323*Muakipai OfBcaa <br />FAX-4734)510 <br />APPLICATIOH FOR LICENSE TO SELL CIGARETTES AT <br />Otono Municipal Code Section 5.24 <br />^’’Isso <br />‘io <br />Malllno Address ' <br />ritv/State/Zio Code f!/^1/•5‘5'?‘7 5- <br />Phone Number V7/ <br />2. Sales Location: <br />Name <f.,T <br />Street Address <br />Mailing Address <rr'?9 ti <br />Phone Number an CITY OF or<m <br />3. Principal business carried on at this location _ <br />_ _ _Q7-»e-r t'o*^ <br />‘LSLJI-S <br />4‘. Method of Sales: Over Counter V a . —:- - -(Vending machine sales prohibited pet Ordinance 81, 2nd Series. <br />Effective date 5/1/90.) <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 Otono during the following quarterly periods: <br />Feb-Mat-Apt <br />^ay-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 />Make remittance payable to: CITY OF <br />Signature of applicant <br />Dated <br />-y