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Fee Due: $125.00 <br />Business Name 1 <br />Business Adciress <br />If completed license sh <br />Business Pi�one <br />�f'�r�, <br />� <br />Finance Degartment, License Division <br />266p Civic Center Drive, Roseville, MN 55113 <br />(651) 792-7036 <br />So�id Waste Hauler License Application <br />Ye� (License will be for January 1 ta December 31.) <br />;,�_„�r� f �E���s� _ ( �r��o r <br />�6� �5��! �� 1�1 � <br />be mailed somewkiere other than the business address, <br />� �f�- ��6-- i� ��! <br />Contact Person F---+ � � � � � <br />(Businass Matters} <br />Email Address �j� <br />Contact Person � <br />(Operationa] Matters} <br />Email Address <br />Emergency Contact Inforination <br />Contact Na�ne: <br />Cell Phone: <br />�� <br />� <br />Alternate Contact Information: <br />In the event that, while operating in Roseville, a collection vehicle leaks or spills eitl�er vehicle fluids or fluids or debris <br />from material collected the company must contact the City within one business day with infoi�rnation regarding the materi$1 <br />involved, tfie amount of material involved and the steps taken by the coznpany to mitigate and remediate damage. 'i'his <br />contact does not absolve the company from liability. <br />The City expects that in the case of a natural or �nan-made disaster ar a public health crisis your company will be able to <br />continue service. Yaur com.pany should plan for continuity of operations through an emergency operat;ons pian. I2�es your <br />company have an emergency operations plan? � ❑No <br />Your company must notify the City when you activate your emergency operations plan, and infor�n the City of relevant <br />informatian regarding provision of coIlection service under the plan. <br />Salid waste collection will be provided to (check all khat apply): <br />�esidential (single family, duplex, triplex, fourplex) <br />� � <br />��Iultiple Aesidential (apartinent, condominium, rrzanufactured home pa�rk, and tawnhouse) <br />�� <br />�oinmercial/Industrial <br />Number of vehicles the applicant proposes to use in the collection of solid waste <br />(over) <br />