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Attachment A <br />Vq LA j <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55 113 <br />(651) 792 -7036 <br />Solid Waste Hauler License Application <br />Fee Due: $125.00 Year (L icense wi 11 be for January I to December 31.) <br />Business Flame 'e, 0 5 \/,-, j, 1 I., L tr <br />Busincss Address '-3 ' ` � '�2 <br />Business phone <br />Contact person <br />Email Address ft� <br />Emergency Contact Information & <br />If completed license 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 famll \/r duplex, triplex, fourplex) <br />?"'Multiple Residential (apartment, condominium, manufactured hone parr, and townhouse) <br />Cmmerc i s 1!I n du s trig 1 <br />Number of �oehicles the applicant proposes to use in the collection of solid waste <br />Name and address of disposal or recycling facilities to �vhlch waste will be hauled: <br />Garbage <br />Brush <br />U1 4 <br />Yard Wasie <br />Additional Items such as appliances <br />(af ach additxo rr a I sh eel- if ,r ecessary ) <br />