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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 /> r <br /> Solid Waste Hauler License Application <br /> Fee Due: $125.00 Year Oc� b� (License will be for January ! to December 3 I .) <br /> Business Name ��°h C �-S / 1 1_S ��e r Y/�c-C �� <br /> ti— J/ <br /> Business Address S' k <br /> l <br /> Contact Person i' .r . �:• __ .. - - - . .. ...,�..::,.—..`..�.,,_.. `Vol 4 S--n <br /> Easiness Phone <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 /> Residential (single family, duplex, triplex, fou[ple:c, and townhouse) <br /> Multiple Residential <br /> CoRUnerciaVIndustiial <br /> Number ofvehicles the applicant proposes to use in the collection of solid waste <br /> Name and address ofdisposal facility to which solid waste will be hauled: <br /> Garbage Yard Waste <br /> Z.Zdaj <br /> 14ax weL., <br /> Other Refuse Special Waste (please specij5�) <br /> 4 PZ�ls <br />