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Recycling Ha <br />uler License Application <br />if completed) license should he mailed somewhere other than the bus Uriess addlress, please attach separate sheet. <br />Recycling, services %w ill be provided to (check all that apply)- LA /L? CMSftC;jjMA <br />Ctmo l h vl/� <br />Resi dent ial Commercial Multifamily Industrial <br />Number of vehicles the applican,t proposcs to use in the collection of riecyclables <br />*Required items for residential and multifamily haulers <br />I have been provided with a copy of the City of Roseville Curbside Recycling Ordinance and understand that violation of any of the <br />provisions inctuded in t4e ordinance may result in suspension or revioeatjo,11 of the license. <br />r <br />I haviie, aaacheid a certificate, of liability insurance, a cc Worker Compensation coverage, and the fee ofS. 125.00 <br />-13-09 <br />Date PI i t Signat Title <br />