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, 12:06 PM License Administration     CITY OF TIFFIN Retail Tobacco License Review CITY OF TIFFIN 1707377801  Application Information Legal Ownership Information Name of sole proprietor, partnership, : FAREWAY STORES INC corporation, LLC, or LLP Type of ownership : Corporation Primary office address : 8800 NW 62ND AVE JOHNSTON IA 50131-2849 Legal Ownership Phone : 515-432-2623 Legal Ownership Email : [email protected] Application Information Sales and Use Permit Number : 152026304 Location Name : FAREWAY STORES, INC #193 Location Phone Number : 319-645-2126 Location Address : 500 CROELL AVE TIFFIN IA 52340-4757 Location Mailing Address : 8800 NW 62ND AVE JOHNSTON IA 50131-2849 Renewal : Yes Start Date : 01-Jul-2026 https://govconnect.iowa.gov/TAP/Licensing/_/#54 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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