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��I � J Finance Department, License Division 2660 Civic Ccnter Drive, Roseville, MN 55�13 (b51) 792-7036 Solid Was#e Hauler License Application Fee Due: $125.00 Year '�`� (License will be for Ianuary 1 to December 31.) Business Name /�' - ��2, p Z '�3 �,�„E, � O' �,Q�j�� Business Address rU O�Ir ll r{%c� lc�t>(,�p ��'i% .5�0 � g If completed Iicense should be mailed somewhere other than the business addres piease advise. Business Phone Contact Person (Business Matters) T Email Address Contact Person (Operational Matters) Email Address Emergency Contact Information Contact Name• --r - -....._ _ ..,_. CeU Phone: .. ^, , ... A[ternate Contact Information: Ir► the event that, while operating in Roseville, a collection vehicle leaks or spills either vehicle fluids or ilu►ds or debris from material collected the company must contact the City wittiin one business day with information regarding the materiai involved, the amount of material involved and the steps talcen by the company to mitigate and remediate damage. This contact does not absolve the company from liability. 'I�e City expects that in the case of a natw�al or man-made disasfer or a public health crisis your company will be able to continue service. Yoar company shouid plan for co uity of operations through an emergency operations plan. Dces your company have an emerg�cy operations plan? es ❑No Your company must notify the City when you activate your emergency operations plan, and inform the City of relevant information regarding provision of collection service under the plan. Solid waste collecYion will be provided to (check all that apply): esidential (single family, duplex, triplex, fourplex) ❑ Multiple Residentia[ (apartment, condominium, manufactured home park, and townhouse) ❑ Commercial/Industrial Number of vehicles the applicant praposes to use in the collection of solid waste % (over)