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0 <br />Oolid Waste Hatiler License Application <br />Fee Due., S125.00 Year )60 - (License will be for January I to December 3 1) <br />Business Name <br />Business Address (0 &C& -firJesil Mg arYO 9 <br />Businiess Phone <br />Contact Person rm" <br />Email Address <br />1LJ <br />Em,crge,n�cy Contact Information <br />If completed license should be mailed somewhere other than the business address, please advise, <br />Solid waste. collection Neill be provided to (check all that apply): <br />A Residential (single family, duplex, triplex, fourplex) <br />Multiple Residenfial (aP <br />� artment, condominium, manufactured home park, and townbouse) <br />Commiercial/Industrial <br />Number of vehicles the applicant proposes to use in the collection of siolid. waste 570* <br />Brush <br />A (1ditional Items such as appliances <br />(allach additional sheet if tiecessary) <br />