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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 />Business Address <br />Contact Person <br />Business Phone <br />MVIRK, <br />AC) <br />e�jxl <br />0 IV I- "� (A <br />t 5-0 3 <br />l 'finer <br />If completed license should be mailed somewhere other than the business address p lease advise. <br />Solid waste collection ill be provided to (check all that apply): <br />Residential (single farm' l , duplex, triplex, feurplex, and townhouse) <br />Multiple Residential <br />Comrnereia ./Industriai <br />Number of vehicles the applicant proposes to use hi the collection crf solid waste <br />Name and address of disposal facility to which solid waste will be hauled: <br />Garbage Yard Waste <br />w r{! <br />AX2 N <br />r W1 <br />Other Refuse Special Waste (please specify) <br />I/je T <br />Sa V.-� &-� - - �./j <br />J <br />