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Lebms- <br />Finance De pa ent, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651) 490-2212 <br />Solid Waste Hauler License Application <br />Fee Due.-� S125.00 Year CIO 0 3 (Liicense will be for January I to Diecemb�er 3 1.) <br />ITU ffmQi:� <br />I jo J. 11 <br />Bminess A 0 ddms's d jo 1 .1 1 <br />'All ► <br />.100--wWwww" <br />,Clontact Person 11 e OV V All <br />Business Phone <br />Iftompleted. license skould be mailed somewhere other than the business address, please advise, <br />Solid waste icolliection will be provided to (check all that apply): <br />P`4 Residential (single famfl�y, du�plex, ,triple Irk foumlex, andtownhouse) <br />Multiple Residential, <br />tee' Comm=Wffidustrial <br />Number of vehicles the applicant proposes to use in the collection of solid waste CXV <br />Name andaddress of d1spoisal facility to which solid waste will'l he hauled: <br />Garbage Yard Waste, <br />dj_ I? <br />Jed A/ <br />101 1- HA, 9 WFJ4E A, VA- AA 14A <br />V <br />Ire" IZ a Aj <br />JIF <br />mum= <br />E '01 <br />T4 j 91 L='d V od, I- im 4 !2 <br />ff dPI 01 0 <br />7 149 9X <br />A�r V <br />44F <br />