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i©(iMa <br />J«i27l989 <br />ri^ <br />CITY OF OROWO <br />CRYSTAL DAY, MINNESOTA 55!^23 <br />ADMINISTRATIVE OFFICES <br />Plionc: 473-7358 <br />APPLICATION FOR LICENSE TO SELL CIGARETTES AT RETAIL <br />(Chapt>^r 62, Orano <br />Name of Applicant1. <br />2. <br />mTJA <br />.-13 <br />■ - .r —V'-:ff:ce <br />Addros s 10'? S' Imi) e //Phono <br />Sales Locat: <br />Name <br />tydn: <br />M r r ( Sf>pr>- Mi) <br />:e:i:p'- Ycu <br />^I2i720 ::0i ROl TiCi <br />Add re s s_3333 <br />j/QUi) ______________________^ <br />0 ^ Phone ^7 I <br />3.Principal business carried on at this location <br />{^/2jQC£tZ^^_ _ _ _ _ _ _ _ _ _— <br />Over Counter Other4. Method of Sales: Vending Machine_ _ <br />I hereby make application for license to sell cigarettes at retail at <br />the above location subject to the laiifs of the Statv? of Minnesota and <br />the ordinances of the Villarrc of Orono during the following quarterly <br />periods: <br />‘^cb-Mar-Apr <br />^May-June-July <br />j*^ug-Sept-Oct <br />y>^Nov-Dec-Jan <br />LICENSE FEES <br />Expiration date of license, Jan. 31, <br />each year. Annual license fee is <br />$20.00. Nherc applicable, as in the <br />case of seasonal-sales, this may be <br />pro-ratC'^ by quarters, at $5.00 per <br />quarter. <br />Hake remittance payable to : City of Oi^ <br />Signature of applicant <br />Dated ___/2zll U <br />A__ <br />For Office Use <br />Action: