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Finance Department, License Division <br />2660 Civic Center Drive, Roseville, SIN 55113 <br />(651) 7 92-7 03 6 <br />Solid Waste Mauler License Application <br />Fee Due: $125.00 Year ` (License will be for Januarys l to December 31.) <br />Business Name <br />Business Address <br />r <br />Business Phone <br />-- <br />Contact Person f V <br />Email Address <br />Al S571 <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 family, duplex, triplex, fourplex) <br />V Multiple Residential (apartment, condominium, manufactured home park, and townhouse) <br />Comm erci al /l ndustrial <br />Number of vehicles the applicant proposes to use its the collection of solid waste <br />Marne and address of disposal or recycling facilities to which waste \kjill be hauled: <br />crreose <br />R1�T <br />A/6 /V /0 0 r nlry <br />Brush <br />Yard Waste <br />A ddiliDn Sri Items such as appliances <br />(attach additional sheet rf necessary) <br />