2014_0106_CCpacket - Laserfiche WebLink

Home

Ri� �. i� Finance Departrnent, License Division 2660 Civic Center D�i�ve, RosevilIe, MN 55113 (651) 792-7036 SoIid Waste Hau�er License Application Fee D e: $12 . Year �{Licensa will be for January 1 ta December 31,} Business Name _��j C!� �Q.��r/'Zl�• Business Address �%/Br �h�G[�J �-, Ir d�/, K�ryj_�y, �/ �,��j lf completed license should be n�ailed some ere other than the busi'ne�address, please advise, Busir.ess Pl�nne _ �� j �� Contact Person ��_��y��yyi (Business Matters) EmaiE Address Contact Person gi�i�1�J� (Operational Matters) � EmaiI Address �{/V� Emergency Contact Info ation Contact Name: �YZLS � Ceil Phone: �� Alternata Contact Information: In the event that, while operating in Roseville, a collectian vehicle leaks or spills eitl�er vehicle fluids or flui�s or debris from material collected the eompany must contact the City within vne business day with information regarding tlie material involved, the amount of material involved and the steps taken by tlie company to mitigate and remediate damage. This contact does nat absolve the cornpany from [iability. 'Fhe City expects that in the case af a natural or man-made disaster or a pablic health crisis your company will be able to continue service. Your cotnpany shauld pfan %r continuity of aperations thrcugh an emeroency operations pla.n. Does your company have an emergency operations plan?�Yes ❑No Your company must notify the City when you activate your emergency operations plan, and inform the City oirelevarrt information regarding provision af collection service under the plan. Solid waste collection will be provided to (chec[c all that apply): �Residential (singla family, duplex, triplex, fourplex) �yJ Multiple Residential (apau-hnent, candominium, manufactured home park, and townhause) [� CommerciaUIndustria! Number af vehicles the applicant proposes to use in the collection of solid waste � (over)