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515 Little Canada Road, Little Canada, MN 551174600 <br />(651) 766-4029 / FAX: (651) 7664048 <br />www.ci.little-canada.rnn.us <br />APPLICATION FOR <br />GENERAL TOBACCO SALES & DISPLAY LICENSE <br />MAYOR <br />Bill Blesener <br />COUNCIL <br />Rick Montour <br />John Keis <br />Michael McGraw <br />Shelly Boss <br />ADMINISTRATOR <br />Joel R. Hanson <br />Business Name: C r"C'.' 7„,v1 G, .2 ) e. -V' 1ne.L3S L-ur2e4y <br />Business Address: ,9-7 (.-, O 12,6„_, � Z=2. -1 t Ci 1 �`«1 /r)/J SS /l <br />Business Phone: (,o S-/ A/ stir /r S 7 J 7 <br />Federal ID No: L/7—./7,' MN State ID No: 2,'77 3 <br />Licensee/Owner Information: <br />Name: 44-(1%443. (Ay Vad <br />Address: <br />Phone: re, / / (�• S e 3 S L- <br />15 . V <br />.,'�'7c',y 1�' :5 /2-)A1 s CYO 6:. <br />5703Cgtz;.1) 6 S-l'4?!:>,2-e:7S'"3(:::0-0 <br />Please describe the nature of the business, including products sold, hours of operation, <br />etc.: Jl /2) / <br />C724.4'7 L CCi7it�: )� 9(�J C7 ,/21 C/ <br />tU2 , 00 fji)'1- 00j"nfi <br />c; .)- Ol Q l),_ 1 0 c i- e •- <br />11) <br />11) Lt c.4 -s S G 1 el , LAj-2I-V y S cc.2'/14-5 n S > O%/ r /1 F✓c,.$) <br />`TU bet-,c,�c-�y c/iii. / <br />(Over) <br />