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Nama and address of each transfer station, disposal facikity and composting facility used for each of the following: <br />(aktach additional gages ifneeded) <br />Garbage <br />�� <br />� � <br />Yard WasteBrush <br />� <br />ie� �, <br />Construction/Demolitiou Debris <br />—_ �� <br />���o�.��.��� srN� <br />� �t� ���{� q <br />Organics <br />Tnclude a copy of tha disclosure form used to inform customers of the disposal facilities used 6y the applicant. <br />Residential Customer Rafes <br />Please include all relevant taxes and fees including surcharges. <br />These 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-up Service* <br />Additional Gazbage* <br />Yard Waste* <br />*These services are required to be offered in Roseville. <br />Cost <br />� � (per month} <br />� � � (per month) <br />�� � � (per month) <br />a� <br />{per month) <br />� aV� <br />.� <br />I have been provided with a copy of the City of Roseville Solid Waste Collection Ordinance and understand that violation <br />of the provisians included in the ordinance may result in suspension or revocation of the licensa. <br />tificate of liability insurance, a certificate indicating Worker Cornpensation coverage, the fee of <br />of the disposaE facility disclosure form. <br />Title � ��� <br />i�' <br />Date <br />