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City of Roseville <br /> Finance Department, License Division <br /> 2660 Civic Center Drive, Roseville, MN 55113 <br /> (651) 490-2212 <br /> Solid Waste Hauler License Application <br /> Fee Due: $125.00 Year d(X)3 (License will be For January 1 to December 3 1.) <br /> Business Name �t.I j P-LI I C:Q . J-A L . <br /> Business Address 1,)LI U 1-ki 1 P n L2Q, <br /> W- 3l� Pt-,-(,LLI m n 55118 <br /> Contact Person kccu 1'LtJ1 <br /> Business Phone tv5I- Lt S] 3LOgo <br /> If completed license should be mailed somewhere other than the business address, please advise. <br /> Solid waste collection will be provided to (check all that apply): <br /> J Residential (single family, duplex, triplex, fowplex, and townhouse) <br /> Multiple Residential POU '�, 1.S P1 L.�J <br /> CoiV.nerciaVlndustrial q$Vo C/'IGY1 &-'env C tqY1 <br /> Number of vehicles the applicant proposes to use in the collection of solid waste te <br /> Name and address ofdisposal facility to which solid waste will be hauled: <br /> Garbage Yard Waste <br /> SQ. CLf—&� c'lUd al-c.lvr,vS <br /> ar <br /> Other Refuse Special Waste @lease specify) <br />