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Name and address of each transfer station, disposal Facility and composting facility used for each of the following: <br />(a�tach additional pages ifneeded) <br />Garbage <br />��,e�' Zi`,�,�! ��,� — ��E�,,�-�' <br />�i�ur' L�.d �,i� � � �Ll�-r <br />� y � <br />(Y;a �t�e. �� � <br />Yard WasteBrush <br />1 ►` � � � <br />1� . i i <br />Consiruction/Demolition Debris <br />r r r , , , <br />_� ='� <br />Organics <br />Include a copy of the disclosure form used to inforrn customers of the disposal facilities used by the applicant, <br />Residen#ial 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 Gallan Service* <br />96 Gallon Service'� <br />Walk-up Service* <br />Additional Garbage* <br />Yard Waste* <br />*These services are required to be affered in Roseville. <br />Cost <br />�pBi' mDntli� <br />_, � (per month) <br />� � (per month) <br />Vll.i��fit— <br />�, oa <br />. <br />(per month} <br />I have been pro�ided with a copy of the City of itose�ille Solid Waste Collection Ordinance and understand that �iolation <br />of the provisions included in tha ordinance may result ' si or revocat�on of the license. <br />� have attached a certificate of liabil <br />$1 .00, d a copy of the disp�C <br />..�1 �� �� � <br />Date <br />coverage, the fee of <br />