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Solid Waste Hauler License Application <br />Fee Due.: S125.00 Y ear '��WR W1 <br />— (L tense M be for January I to December 3 1.) <br />Emergency Contact Information <br />If co�mple,ted hicensle shioul d be mailed somewhere other than the business address, please advise. <br />Solid waste collection %vill be provided to (check all that apply): <br />v"' I Residential (single family, duplex, triplex, fourplex) <br />60" Multiple Residential (apartment, condominiuni, manufactured home park, and townhouse) <br />Cioini ni erc ia 1/1 nd us trial <br />Number o vehicles the applicant proposes to use in the collection of solid waste I <br />Name and address of disposal or recycling facilities to which waste will be hauled: <br />Garbage <br />Yard' Waste <br />VA. C, �A CIA -it-M <br />i Ou t 9 651 Groot t�le.�- ��Q,,i <br />