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T T Y-OIN <br />1-1 A <br />Finance Department, License Division <br />2660 Civic einter Drive, Roseville, MN 55113 <br />(651) 792-7036 <br />Solid Waste Hauler License Application <br />Fee Dlue. $125-00 Year ZCCOI_ (License will be for January I to December <br />Business lame Lf -21 I or L I Ilf r% a I Ift ra A I A 111 f% HL 2 <br />Emergency Contact Information <br />If'colmpleteld license should be mailed somewheire other than the business address, please advise. <br />Solid waste collection xvill. be provided to (check all that appll y): <br />Residential (single family, duplex, triplex, fourplex) <br />Multiple Residential (apartment, condominium, manufactured home park, and townhouse) <br />PZLL.Orrc, <br />Com <br />rnercial/Industrial. I I- <br />t' e^ <br />Number of vehicles the applicant proposes to use in the collection of solid waste <br />Name. and address of disposal or recycling facilities to which waste will be hauled.- OVI t/I <br />Garbiag,e <br />Yard' Waste <br />A idditional Items such tis qj)pfiances <br />(attach additional sheet if necessag) <br />