Section 1 of 4 in this document
Thank you for submitting your application. There are three ways to pay for your license:
Online with a credit card - a fee will be added to this payment
Call 651-490-4600 to pay with a credit card
Send a check to city hall (address is to the right)
Filling Station License Application
Applicant information
Full Name
First Name
Last Name
Phone Number
*
Email
*
Section 2 of 4 in this document
Business information
Business name
*
Business address
Street Address
City
State
Zip
Mailing address (if different from above)
Street Address
City
State
Zip
Business phone number
MN ID #
*
Federal ID #
*
Number of gas storage tanks
*
Enter number of pumps
*
Total fee for all pumps
Please upload your proof of insurance and certificate of compliance for Minnesota workers' compensation law.
Click Here to Upload
Section 3 of 4 in this document
Corporate information
Corporate name
Corporate address
Street Address
City
State
Zip
Corporate phone number
Sign Here
Sign Here
First Name
Last Name
Email
Choose how to sign
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The undersigned applicant makes this application pursuant to all the laws of the State of Minnesota and such rules and regulations as the City Council of the City of Shoreview may from time to time prescribe.
disregard this