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�',�� . �.- ,..� � .y.V.�,� � p � Finance Department, License Division 2660 Civic Center Drive, Roseville, MN 55113 (G51}792-7036 Solid Waste Hauler License Application Fee Due: $125.00 Year U!�{License will be for January 1 to December 31.) Business Name L I 6 H T�I I N 6 D I 5 P � S A� Business Address E A 6 A N hf N 5 5 1 Z 1 If completed license should be maeled somewhere other than the business address, please advise. Business Phone Contact Person (Business Matters) Email A�dress _ _ �- -- - - - Contact Person , s.-�,--- — - -- (Operational Matters) � Email Address �+''ri"'` Em�gency Contact Information Contact Name: . - - Cell Phone: � Alternate Contact Information: , �.,r.. .-t�� -�- • �- . � � In the event that, while operating in Roseville, a collection vehicle I s or spills either vehicle fluids or fluids or debris from material collected the company must contack the City within one business day with information regarding the material involved, the amount of material involved and the steps taken by the company to mitigate and remediate dasnage. 'IUis contact does not absolve the company from liability. The City expects that in ttie case of a natura] or man-made disaster or a public health crisis your company will be able to contin�e service. Your company shoutd plan for continuity of operations through an emergency operations plan. Dces your company have an emergency operations plan? �Yes ❑No Your company must notifjr the City when you activate your emerg�cy operations plan, and inform the City of relevant information regarding provision of collection s�-vic� under the plan. Solid waste collection will be provided to (check all that apply): ❑ Residential (single family, duplex, triplex, fourplex) � ❑ Multiple Residential (apartment, condominium, manufactured home park, and townhouse) ❑ ComrnerciaVTndustrial Number of vehicles the applicant proposes to use in the collection of solid waste �/'! (over)