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Name and address of each transfer statsan, disposal facility and composting facility used for each of the foIiowing: <br />(attach additianal pages if needet3) <br />Garbage Construction/Demolition Debris <br />C <br />_��= �- �� ��1, �� <br />_",r� r� -- - � <br />: � C��� � r ;��� .:�� t ���,�--v ��c� <br />�=�� - ����.��1 t�>>� —��-�/C�3 - . ,�'7rJ �"��7�� <br />Yard WasteBrush <br />l� � <br />organics <br />Include 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 ta�ces and fees including surcharges. <br />Tt►ese 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-ap Service" <br />Addifional Garbage'� <br />Yard Waste'` <br />*These service.. are ren,uired ?o be offered in Roseville. <br />Cast <br />�' 4 � (per month) <br />� • � � (per month) <br />� � ' �� (per month) <br />�� b (per month) <br />� �O��C� <br />I have been provided with a copy of the City of Roseville Solid Waste Collection Ordinance and understand that violation <br />of the provisions included in the ordinance may result in suspension or revocation of the license. <br />I have aitached a certifiicate liabiiity insurance, a certificate indicating Worker Compensalion coverage, the fee of <br />$125.0 d a c oft isposal facility disclosure form. <br />�v �-- � <br />Applic � ' ature � <br />� r <br />Ti <br />� � � <br />Date <br />