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Finance Departm,ent, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651.) 7192-7036 <br />Email Address - lip - I — k <br />Emergency Contact Information <br />Jf completed llicen�sel, 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,, dupilex, triplex, fourplex) <br />Multiple Residential (apartment, condominium, manufactured h�ome park, and townhouse) <br />Coin -nnier,ic�ia.i/liidustr,]'aI <br />e�v <br />umber of vehicles the applicant, proposes to use in the collection of solid waste <br />Name and address of disposal or recycling facilities to which wasic will be hauled: <br />Ga,rhiage Yard Waste <br />GEM= IN <br />Brus,hi <br />on <br />on <br />Additional Items siich as applia►ices <br />(aftiach additional A eel if tiecessarj) <br />