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CITY 01' ORONO <br />CRYSTAL DAY, MINNLSOTA SS E23 <br />ADMINISTRATIVE OFFICES A 1 9 W <br />phone. 473-7358 <br />APPLICATION FOR LICENSE TO SELL CIGARETTES AT RETAIL 1088 <br />(Chapter 62, Orono Municipal Code) <br />1. Nano of Applicant ,•%is9.ylir 6, aZ%1, <br />AddrassS2 3 3 2342TLJ w, 3/✓ad . /1'eee.J /1 Phone 4(7,-2-- 6162-- <br />2. Sales Location: S>76y� <br />Name JlAlal e's Lounge <br />Address 3380 Shoreline Drive Phone <br />3. Principal business carried on at this location <br />4. Mothod of Sales: Vending Machine Over Counter Other <br />I hereby make application for license to sell cigarettes at retail at <br />thu above location snbjcet to the laws of the State of Minnesota and <br />the ordinances of the Villanu of Orono during., tha following qunrt�rly <br />periods: <br />Feb -Mar -Apr <br />May-Junu-July <br />Aug -Sept -Oct <br />Nov-Dec-Jnn <br />LICENSE FEES <br />.. - - OFFICE <br />Expiration data of license, Jan31y0 0 <br />i <br />each year. Annul licanaa faa s "EN X.00 <br />$20.00. 1haro applicable, as iit thoTL 10.00 <br />call of seasonal snles, this may bc--j <br />quarter. hA,," y0V <br />pro -rate+ by quarters, at $5.00 par �C' RCl T1 i:C5 <br />C - <br />1,.J r9 <br />Make renittance payable to City of Orono <br />SignAturc of applicanw _ <br />Dated <br />For Office Ilse <br />Action: <br />