Laserfiche WebLink
Name and address of each transfer station, disposa! facility and composting facility used for each of the following: <br />(attach additionai pages if needed) <br />Garbage Construction/Demolition Debris <br />U��t��.�� �� � P� <br />s�.� �� � � ,����s . <br />�S� rv <br />Yard WasteBrush <br />� ~ � � � V <br />� ' <br />� �11. ,L. �i 1 <br />� <br />;1 � , L1 <br />Organics <br />Inc�ude a copy of the disclosure form used to inform customers of the disposal facilities used by the applicant. <br />Residential Customer Rates <br />Please include all relevant taxes and fees incIuding surcharges. <br />These will be published and otherwise made available to residents. <br />Service <br />32 Gallon Service* <br />64 Gallon Service* <br />96 Gallon Service* <br />Walk-up Service* <br />Additional Garbage'� <br />Yard Waste* <br />*These services aze required to be offered in Roseville. <br />Cost <br />� <br />T ip� month) <br />_ (p� month) <br />^ (per month) <br />_ (p� month) <br />` - � <br />I have been provided'svith a wpy ofthe City ofRoseville Solid Waste Collection Ordinance and understand that violation <br />of the provisions includecE in the ordinance may result in suspension or revocation of the license. <br />I have attached a certifieate of liability insurance, a certificate indicaCing Worker Compensation coverage, the fee of <br />$1 ., d a copy af the disposal facility disclosure form. <br />� <br />App � ant's Signature <br />� sLc�-��('L�e1�[�'�` <br />Title <br />- f i ��� �� �--- <br />Date <br />