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� �� r • � �.� � <br />� <br />Finance Department, License Division <br />2660 Civic Center Drive, Raseville, MN 55113 <br />(651) 792-7036 <br />Sol'rd VVaste Hauler License Application <br />Fee Due: �125.00 Year � v�. (License witl be for Ianuary 1 to December 31.} <br />Business Name ���� ���� �Y��� j _1_F�� • _ <br />Business Address "L"{ �7l }� � <br />If completed license should be mailed <br />Business Phane <br />ContacC Person <br />(Business Matters) � <br />�mail Address <br />Contact Person <br />(�perational Matters} <br />Bmail Address <br />Emerger►cy Contact Informatior� <br />Contact Name: <br />Cell Phone: <br />� 1,� � � �. I�,�I �C�. �l� �, <br />other than the business address, please advise. <br />� <br />� <br />Alternate Contact Tnformation: <br />In the event that, while operating in Roseville, a collection vehicle leaks or spills either vehicle fluids or fluids or debris <br />from material collected the company must contact the City within one business day with information regarding the material <br />involved, the amount of material involved and the steps taken by the company to mirigate and remediate damage. This <br />contact does not absolve the company from iiability. <br />The City expects that in the case of a natural or man-made disaster or a public health crisis your company will be able to <br />continue service. Your company should plan for continuity of operations through an emergency operations plan. Does your <br />company have an emergency operations plan? �Yes ❑No <br />Your compar�y must notify the City when you activate your emergency operations plan, and inform the City of relevant <br />information regarding provision of coilection service ander the plan. <br />Solid waste collection wiU be provided to (check all that apply}: <br />� Residential (single famely, duplex, iriplex, fourplex) <br />� Multipie Residential (apartment, condominium, manufact�ed home park, and townhouse) <br />� Commercial/Industrial <br />Number ofve�icles the applicant proposes to use in the collection of solid waste _ <br />(over) <br />