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�/�� ��,.. J I Finance Department, License Divisian 2b60 Civic Center Drive, Roseville, MN 55113 (651) 792-7036 Solid Waste Hauler License Application Fee Due: $125.00 Year �{License will be for 7anuary 1 to Dacember 3I.) Business Name Business Address U'�rI i�C,(�jr�� '�V�►'{�.� c�' L� r�l�1i If completed license should be mailed somewhere other than the business Business Pho�,e �4� Contact Person (Business Matters} Email Address Contact Peeson (�perational Matters) Email Address Emergency Contact Information Contact Naine: � � �i - r . _. r Cell Phone: �� L '�J`r ^ Alternate Contact Information: In the event that, while operating in Roseville, a collection vehicle leaks or spills either vehicle fluids ar fluids or debris from material collected the company must contact the City within one businass day with infqrmation regarding the material involved, the amount af material involved and �1�e steps taken hy the company to mitigate and remediate damage. This contact does not absolve the company from liability. '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 continue service. Yaur company should plan far continuity of operations through an eilzergency operations plan. Does your company have an emergency operations plan? D�s ❑No Your coinpany must notify the City when you activate your emergency operations plan, and inform the City of relevant information regarding provision of collection service under the plan. Solid waste collection will be provided to (check all that apply): �7Zesidential(single faznily, duplex, �iplex, fourplex) �Iultiple Residential (apartment, condominium, manufactured home park, and townhouse) [�'�ommercial/Industrial Number of vehicles the applicant proposes to use in the col�ection of solid waste _� (over)