Laserfiche WebLink
too A, <br />_jj Vi <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MIS 55113 <br />(651) 792-7036 <br />Solid waste Harder License Application <br />F" Due: -'1 25.E Year i <br />�� � � (License will he for January ] to December 3 ] .) <br />Business Name <br />Business Address <br />oo 5o no viu c; y 4 q�e I <br />,:.-%JW - <br />Business Phone � � Q _ - -- <br />Contact person be 0 V1 L P_ C.O_V) <br />Email Address <br />Emergency Contact Information <br />If completed, license should be mailed somewhere other than the business address, please advise. <br />Solid wa-ste collection will be provided to (check all that apply): <br />Residential (single family, duplex, triplex, fourplex) <br />_ Multiple Residential (apartment, condominium, manufactured home park, and townhouse) <br />Comm erc i a ilt nd u s trial <br />Number o f vchicles the applicant proposes to use in the collection of solid waste <br />CZ <br />C -'61) VZ Lq <br />Name and address of disposal or recycling facilities to which waste will be hauled: <br />Garbage Yard Waste <br />ct E-. 6 s- Pro Off# <br />L030 iNt' se <br />Brush <br />Additional Items such as appliances <br />(attach additional sheet, if necessary) <br />_U U) "W'� <br />ff�YqLR- <br />n a f " <br />