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C(1X 1 Of UKUi^OP(MtOfflc*B<n66<CryaUlBar,IkCim«MU5B323«MimidvalOffio« 473-TJM <br />FAX-47MS10 <br />APPLICATION FOR LICENSE TO SELL CIGABETTBS AT RETAIL <br />Orono Municipal Code Section 5.24 <br />Mailing Address <br />mt ^ <br />code <br />2. Sales Location: <br />Mam« V\Wv5SK\^TL <br />Street Address Vl \ \J t KVi-VtkVA \v\v <br />Mailing Address <br />Phone Number <br />__ <br />k«a on at this lOCStion r riy fit nmnJa jrcmwipcix uuaxii- <br />l_\ (5 V5 &T <br />4.Method of Sales; Over Counter ^_ _ _ _ _ Other —>tli-obi <br />(Vending machine sales prohibited pet Ordinance 81, 2nd Senes. <br />Effective date 5/1/90.) <br />I hereby make application for license to sell cigarettes at retail at the <br />L"d7n\ncero^'^Vciiro%'o^ono%u\^^^^^^ the'^follovfin; quarterly periods: <br />Peb-Mat-Apt LICENSE FEES <br />Expiration date of license, Jan. 31, <br />each year. Annual license fee is <br />S20.00. Where applicable, as in the <br />case of seasonal sales, this may be <br />pro rated by quarters, at $5.00 pet <br />quarter. <br />X May-June-July <br />M Aug-Sept-Oct <br />K Nov-Dec-Jan <br />yable to; CITT OF <br />Signature of applicant <br />Dated <br />APR Z 0 1990 <br />d <br />K