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1 <br />�� <br />� <br />Finance Departrnent, License Division <br />2664 Civic Center Drive, Roseville, MN 55113 <br />(651) 792-7036 <br />Solid Waste Hauler License Application <br />Fee Due: $125.00 Year 7.otit (License will be for January 1 to December 31.) <br />Business Name �e_ <br />� v {� <br />Business Address �,p .� �r� �,�,�,4.. Yi rfC� I�r�t S�0! �J ^� <br />If completed license shou[d be mailad somewhere other than the business address, please advise. <br />Business Phone 7�� ����' � Y� l <br />Contact Person $�� �itt�e,, � <br />(Business Matters) <br />_ .i � <br />$mail Address <br />_' — � ' cJ <br />Contact Person �g, <br />(Operational Matters) <br />Email Address <br />- v <br />Emergency Contact Information�+,, ('' <br />Contact Naine: �-�C. J W7�.SiY.Wh <br />Cell Phone: <br />Alternate Contact Information: Q� U��� - <br />In the event that, wl�ile operating in Roseville, a collection vehicle leaks or spills either vehicle fluids or fluids or debris <br />from material collected the company must cvntact the City within one business day with information regarding the material <br />involved, the arnotiEnt of material in�olved and the steps taken by the company to mitigate and remediate damage. This <br />coi�tact 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 coinpany should plar� for continuity of operations through an emergency operations plan. Does your <br />company have an emergency operatians plan? fQ]Yes ❑No <br />Your company must notify the City when you activate your emergency oper$tions plan, and inform the City of relevant <br />in%rmation regarding provision of callection service under the plan. <br />Salid waste collection will be prov�ded to (check afl that apply): <br />� Res�dential (single family, duplex, triplex, fourplex} <br />� Multiple itesidential (apartrnent, condominium, manufactured home park, and kownhouse) <br />� Commercial/Industrial <br />Number of vehicles tha applicant proposes to use in the collectian of salid waste ! <br />(over) <br />