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CITY 01, ORONO <br />CRYSTAL, DAY, MINNESOTA SSj 2 0 <br />ADMINISTRATIVE OFFICES <br />Phone: 473-7358 <br />APPLICATION FOR LICENSE TO SELL CIGARETTES AT RETAIL 19 t8 <br />(Chapter 62, Orono Municipal Code) <br />1. Name of Applicant W.v:.1. r carry cluh <br />Address 200 Wav,,ta Blvd.. Wayzata MN 55391 Phone (612) 473-8846 <br />2. Sales Location: <br />Name Wayzata Country Club <br />Address nm u.,r.. m..a u.....�. wu ssam Phone _[al l L71_AAAA <br />3. Principal business carried on at this loeation_v,',.... rinh <br />4. Method of Sales: Vending Machine _x Over Counter Other <br />I heruby wake application for license to sell cigarettes at retail at <br />the above location subject to the laws of the State of Minnesota and <br />thu ordinances of the lfillage of Ornno during,• Vie following qunrtoriy <br />periods: <br />Feb -Mar -Apr LICENSE FEES <br />May -June -July Expiration data of license. Jan. 31, /�0-0 <br />each year. Annual lieenso fee is <br />Aug -Sept -Oct $20.00. :Where applicable, as in the <br />case of seaso..al snles, th.J5 ma <br />Nov -Dec -Jan ro-rate y quarters, a per <br />9 <br />Make renittance payable to City of O n <br />ca Signature of applint <br />Dated ✓E�.: <br />For Offic: Ilse <br />Action <br />