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Finance Department, License Division <br />2660 Civic Center Drive, Roseville} MN 55113 <br />(651 ) 792 -7036 <br />Solid Waste Haler License Application <br />Fee Due: S125.00 Year )Qc I (License will he for January Ito Deccmher 31.) <br />Business Name eV-djC—/:S - 5' V //A <br />Business Address J6 <br />OY7 <br />}business Phone <br />Contact Verson ' <br />Email Address <br />Emergency Contact Information v <br />If completed license should he mailed somewhere other than the business address, please advise. <br />Solid waste collection will he provided to (check all that apply): <br />Residential (single family, duplex, triple, fourplex) <br />Multiple residential (apartment, condominium, manufactured horse parr, and townhouse) <br />_ Commercial /industrial <br />Number of - vehicles the applicant proposes to use in the collection of solid waste <br />Name and address of disposal or recycling facilities to which waste , -vill he hauled: <br />Garbage Yard Write <br />RT A AJ <br />Brush <br />LT 7 O <br />/vC- /41 -7 <br />Additional Items such as appliances <br />(attach a ddiflonal.sheef if necessary) <br />J 4 J �� . <br />