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2011_1024_packet
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2011_1024_packet
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2/15/2012 1:34:36 PM
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12/20/2011 9:13:29 AM
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k 11 A I 111 10 A A I A 1 4 1 11 <br />Fee Due: $125.001 Year, (License will be for January I to, December 3 1.) <br />.41 A6A <br />X Residential 160 Commercial Multifainfly iX Industrial <br />W Mir A -W --- Mm— <br />Number ofvehi cles the applicant proposes, to use En the collection of recyclabiles <br />*Required it for residential and multifamily haule�rs <br />WvP;4 i <br />I hav, e: been Provided with a copy of the C"Ity of Roseville Curbside Recycling Ordinance and understand that violation of any of't,he <br />provisions included in, the ordinance may result in suspension or revocation ofth e license. <br />4 1" a 1* <br />i have attached a, certificate of liability insurmice certific i , nc - H Workeir Compensation coverage, and the fe�e of $125.00. <br />*ipje AW <br />nVISI u,re Title <br />
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