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NJ <br />Finance Department, <br />2660 Civic Center Drive, RoseviHe, MN 55113 <br />(651) 490-2212 <br />Recycling Contractor <br />Fee Due: $125.00 ear: ) � (License will be for January 1 to December 31. ) <br />Business Name _ ` f i r- - Business Address <br />Contact Person S CC 5 Business phone Y �# <br />If completed license should be mailed somewhere other than the business address, please advise. <br />Recycling services will 'be provided to check all that apply): t'C j .- - r. re t? <br />Residential <br />Multifamily <br />40 o <br />Ccimnercial <br />Industrial' ' f <br />Number of vehicles the applicant proposes to use in the collection of recyciables <br />Name and address of companies where recyclables will be marketed: <br />_3 <br />Newsprint Glass Cans <br />., <br />Lek- <br />01 IL <br />.� <br />Plastic CQr i-ti ated Car dboal. Other- {ease specify) <br />F J <br />el its <br />.r <br />I have been provided with a copy of the City of Roseville Curbside Recycling Ordinance (available at <br />� <br />r.ci.rose ille. inn.usladmin/cl'tycode/ch403 -tit) and understand that violation of any of the provisions in- <br />cluded in the ordinance may result in suspension or revocation of the license. <br />I have attached a cerfi sate of liability insurance, a certi ate indicating Worker Compensation coverage, and <br />the fee of $125.00. <br />Applicant }s Signature <br />title <br />Date <br />