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Rl��'�� i�� Finance Department, License Division 2660 Civic Center Drive, Rosevi�le, MN 55113 {G51} 792-703G Solid Waste Hauler License Application Fee Due: �125.00 Year �.d f(Licanse wilI be for danuary 1 to December 31.) Business Name RLi,ndil Y� �i � n; �i-,: �_;.n .� T,,. �. � �'l � ❑ _ _ I � 8usiness Address �� If completed ]icense should maifed somewhare other than tha $usines; Phot�e (,�-,�j ,� �- 3 �� ,� Contact Person _ ]� h o (Business Matters) Email Address Contact Person p � (Operationa] Matters) 5�3��' addrass, please advise. �. n`� � 5�►-�:�`c,e 5 Email Address Emergency Contact Information ContactName: �, p� � � a � , � ` _ a �r Cell Phone: `! � Alternate Contact Information: In the avent that, while operating in Ros��,��, a coiiecnan venicie leaks or spills either vehicle fluids or fluids or debris frvm tnaterial collected #he company must contact the City within one business day with information regarding the material involved, the amount of material involved and tha steps taken 6y the coinpany to initigate and remediate damage. This contact does not absolve the company from liability. The City expects that iza tha case of a rzatural or man-made disaster or a public health crisis yotU company will be able to continue service. Your company should pIan for continuity of operations through an einergency operations pIan. Does your company have an emergeiacy operations plan? Dyes 14iNo )F'V Your coinpany must notify the City when you activate your ernargency operations plan, and inform the City of relevant information regarding provision of collection service under the plan, Solid waste collect�on will be provided to (check all that apply): ❑ Residential (single family, duplex, triplex, fourp�ex} �Multiple Resiaential (apartment, condominium, manufactured home park, and tawnhouse) . i� Commercia]/Industriai Number of vehicles the applicant proposes to use in the collectian of solid waste (over)