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Finance Department, License Division <br />2660 Civic Center Drive, Roseville, AIN 55113 <br />(651) 792-7034 <br />0 <br />Solid Waste Hauler License App= <br />Fee Due: $125.00 Year (Lfcense will be for January I to Decernbe,-r 3 1.) <br />Business Name 'z>a'-' <br />Business Address V� \t <br />BusinessPhone <br />Contact Person _t <br />Erna.il Address <br />Emerg one y Contact Information, <br />If completed fi'eense should be mailed somewhere other than the business address, please advise, <br />Solid waste collection will be provided to (check all that apply): <br />Residential (single family, duplex, triplex, fb�rplex) <br />Multiple Res id on d a) :(apartment, condominhim, manufactured home park, and townhouse) <br />\/1 Commerci al/Industri -all <br />Number of vehicles the applicant proposes to use in thc� collection of solid waste <br />Narne and address of disposal or recycling facilities to which waste will be hauled. <br />Garbage <br />Yard Waste <br />Additional Items such as appliances <br />(attach additional sheet if necessary) <br />