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Name and address of each transfer station, disposal facility and composting facility usad for each of the following: <br />(attach additional pages ifneeded) <br />Garbage <br />���.� ���� <br />� �;�m� � <br />�i- ��J 1�� ���(� � <br />Yard WasteBrush <br />���� � ��� ����� �� <br />� � �� ��.. <br />Construction/Demolition Debris <br />��,���. �� / <br />� ���� �� <br />��f-��1 ,�� �Sl� � <br />Organics <br />I��clude a copy of the disclasure farm used to inform customers of the disposal facilities used by the applicant. <br />Residential Customer Rates <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 5ervice'" <br />96 Gallon Service* <br />Walk-up Service* <br />Additional Garbage* <br />Yard Waste* <br />*These services are required to 6e offered �n Roseville. <br />Cost <br />1 l �� (per month) <br />� � r � (per monttz} <br />•JLl! (per month} <br />� • v ° (per month) <br />`i•'b� <br />�� . �o <br />I have been provided with a copy of the City of Roseville Solid Waske Collectivn Ordinance and tulderskand that violation <br />of the provisions included in the ordinance may result in suspension ar revocatian of the license. <br />I have attached a cartificate of liability insurance, a certif�cate indicating Worker Compensation coverage, the fee of <br />$125.00, and a copy of disposal facility disc�osure form. <br />.��� � <br />li ' re <br />�;�h�c��� �Zl.��.,��.�� <br />T�ti <br />I�-/� � �3 <br />Date <br />