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Attachment A Finance Department, License Division 2660 Civic Center Drive,Roseville,MN 55113 (651)792-7036 Solid Waste Hauler License Application Fee Due: $125-00 Year f CUcense will bw,for January 1 to Dumber 31.) Business Name L I GNT N I NG DISPOSAL Business Address _ _ G ._M -55 121 If completed license should be mailed somewhere other than the business address,please advise, .. Business Phone k oatact Person - - (Business Matters) Email Address i Contact Person (Operational aatters) Email Address Emergency Contact Informatxor Contact Name: :ell Phone: L�� Fir• Alternate Contact Information: In the event Hiatt while operating in Roseville.a collection vehicle leafs or spills either vehicle fluids or fluids or debris from material collected the company must contact the City within one business day with information regarding the material involved,the amount of material involved and the steps tarn by the company to mitigate and remediate damage.This contact does not absolve the company from liability. The City expects that in the case of a natural or man-made disaster or a public health crisis your company will be able to continue service.Your company should plan for continuity of opera ions through an emergency operations plan.Does you company have an emergency operations plan's .Yes No Your company trust notify the City when you activate your emergency operations plan,and inform the City of relevant infon,nation regarding provision of collection service under the plan. Solid waste collection will be provided to(check all that apply): Residential(single family,duplex,triplex,fourplex) Multiple Residential(apartment,condominium,manufactured home park,and townhouse) Commercial/Industrial P6 a Number of vehicles the applicant proposes to use in the collection of solid wash -0 IV I (over)