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E-4 - Cigarette Licenses Renewals

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CITY OF TIFFIN Retail Tobacco License Review CITY OF TIFFIN 1707377801 Application Information Legal Ownership Information Name of sole proprietor, partnership, corporation, LLC, or LLP: SHANTI LLC Type of ownership: Limited Liability Company Primary office address: 412 1ST AVE CORALVILLE IA 52241-2406 Legal Ownership Phone: 516-710-2324 Legal Ownership Email: [email protected] Application Information City/County Permit Number: 06182024-HS Sales and Use Permit Number: 306408716 Location Name: HOMETOWN SPIRITS Location Phone Number: 319-545-2131 Location Address: 119 W MARENGO RD TIFFIN IA 52340-9212 Location Mailing Address: 412 1ST AVE CORALVILLE IA 52241-2406 Renewal: Yes

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