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Attachment A <br />Ali <br />IV 17 <br />Finance Department,, License Dii,vision <br />2660 Civic Center Drive, Rioisevi'Jle, MN 55113 <br />Z' <br />(651) 71912-70316 <br />10 6 <br />Solid as Hau ter 'Liicense Appil"Iciation <br />Fee Due: $125.100 Yelar (License will be forJanuary I tolDicicernbler 31. <br />19M <br />quMMEMM-1 <br />RAY ANDERSON & SONS CC). INGm <br />Businiess Aiddress, 1311 hnPQTS'M MY RFMVICES <br />Rusinicis Rhone- 930 DULUTH ST. <br />as PPM 17% A a CIA came Mcln-i <br />* 1, rMUL., :V11-1 U;j Iv%j <br />'Clon'tact I?Qrson RIO- C 14 1,94) /2p— P.Li, C7 - /", <br />jr <br />vog.-e 7 <br />Email Address 00114, 7X r� . ....... z-4*;t'14 <br />Emiergiency Contact Information <br />If clonipletield "license �sih,ould be mailed somewhere other ,tai an thie buSi'ness,A&r1e,SS,, P'llease aldvise. <br />S ,I <br />olid waste collection will be provided to (clieck all that apply): <br />Residential (single family, duplex, triplex, fourplex) <br />Multiple Resildiential (apartment, condominium, manufacturied home park,, and townhioluse) <br />Number of %richicles the applicant proposes to use in the collection olf so'hid waste <br />Marne and adidriess of disposial or recycling facilities to which waste will) the hau�led- <br />,Gliar�ibage Yarid Waste <br />A <br />Blusih <br />Lo <br />A idditio,nail fliettis s�iic,h as appiliances <br />(aiilifaic,h aiddit"li,otitail sheet if in elic�iessiary) <br />