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• �i. <br />�� <br />Finance Department, License Division <br />26b0 Civic Ccnter Drive, Roseville, MN 55113 <br />(651) 792-7036 <br />5olid Waste Hauler License Application <br />Fee Due: $125.00 Year '�� (License will be for 7anuary 1 to December 31.) <br />Business Name <br />�,�,, /� ! j <br />Business Address � ;� (_[`��, �)� ���� f , � .� .�j j�, � <br />If completed license should be mailed somewhere ather than the business�address, please advise. <br />Business Phone �� � � L�� �� ��' <br />Contact Persan e�;�l'�C5 � _ _ <br />(Business Matters) <br />Email Address <br />Contact Person � j 2_��(� �°1a . j 1' � Z <br />(Operational Matters) <br />Email Address <br />Emergency Contact Informati � <br />Contact Name: �I Q�r., �i ��;fi', hy �7 <br />.� – - — <br />Cell Phone: <br />Altemate Contact Information; �y pi� � f l�l' T <br />In the event that, while operating in Roseville, a collection vehicle leaks or spills either �ehicle fluids ar�uids or debris <br />from material collected the company must contact the City within one business day with information regarding the material <br />involved, the amount af material involved and the steps talcen by the company to mitigate and remediate damage. 'I71is <br />contact does not absolve the company from liability. <br />The City expects that in the case of a natural or man-made disaster or a pub[ic health crisis your company will be able to <br />continue service. Your company shouid plan for continuity of operations through an emergency operations plan. Does your <br />company have an emergency operations plan? ❑Yes ❑No <br />Your company must notify the City when you activate your emergency operations plan, and inform the City of rele�ant <br />inforrnation regarding provision of collection service under the pian, <br />Solid waste co�lection will be provided to {check all that apply): <br />� Resideniial (single family, duplex, triplex, fourplex) <br />� Multiple Aesidential (apartment, condominium, manufactured home park, and townhouse} <br />� Co�nmercial/Tndustrial <br />� <br />Number ofvehicles the applicant proposes ta use in the collection of solid waste � <br />(over) <br />