application permit · E-4

Approval of Cigarette License Renewal – July 1, 2026 – Maverick, The Depot Express, Parkside Liquor, Fareway, Hometown Spirits, Casey’s General Stores, Kwik Star and Tiffin Iron Tap — E.4

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5/13/26, 12:05 PM License Administration Agenda Item: E-4     CITY OF TIFFIN Retail Tobacco License Review CITY OF TIFFIN 1707377801  Application Information Legal Ownership Information Name of sole proprietor, partnership, : MAVERIK GROUP, LLC corporation, LLC, or LLP Type of ownership : Limited Liability Company Primary office address : 185 S STATE ST STE 800 SALT LAKE CITY UT 84111-1549 Legal Ownership Phone : 801-683-3628 Legal Ownership Email : [email protected] Application Information City/County Permit Number : 06172025-KG Sales and Use Permit Number : 152022420 Location Name : MAVERIK 5206 Location Phone Number : 319-545-2290 Location Address : 101 VILLAGE DR TIFFIN IA 52340-9228 Location Mailing Address : 185 S STATE ST STE 800 SALT LAKE CITY UT 84111-1549 https://govconnect.iowa.gov/TAP/Licensing/_/#45 1/3

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Attached to agenda item: E-4 Approval of Cigarette License Renewal – July 1, 2026 – Maverick, The Depot Express,...

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