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Way a //e Wanda <br />515 Little Canada Road, Little Canada, MN 55117 -1600 <br />(651) 766 -4029 FAX: (651) 766 -4048 <br />www. ci.little- canada.mn. us <br />CIGARETTE /TOBACCO PRODUCTS LICENSE <br />APPLICATION <br />1 r <br />Business Name: fj'� I .l�� JN&o /5C; J[)4Q) :;(eZ.16c_) tie S <br />z -7 r <br />Business Address: �,t Z6gue rL t <br />Business Phone: Acs 2 %Z 7 y97 <br />MN Business ID Number: <br />Licensee /Owner Information: <br />Name: C t 40 $4;, <br />Address: 6> l6 t (,3 0300d C i.. <br />Phone: )_f c 4 7' 300 <br />Social Security Number: <br />Please describe the nature of the business, including products sold, hours of <br />operation, etc.: <br />p (:C f C >C UC: 5 (._CC ("le <br />T hereby apply for the following license for the term of one year-, beginning July-I- <br />And ending June 30,,..2e8 in the City of Little Canada, County of Ramsey, State of <br />Minnesota. <br />2 <br />MAYOR <br />Dill Blesener <br />COUNCIL <br />Rink Montour <br />John Keis <br />Michael McGraw <br />Shelly Boss <br />ADMINISTRATOR <br />Joel R. Hanson <br />0 <br />