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� �; <br />� <br />Finance Department, License Division <br />2660 Civic Center Drive, Rose�ville, MN 55113 <br />{651) 792-7036 � <br />Recycl�ng Hauler License Application <br />Fee Dne: $I25.00 Year �V � (License will be for January 1 to December 31.) <br />Business Name �'�� � � � � � f ��L��� i� �J � V � CJ � ��� � <br />Business Address <br />Business Phone <br />Contact Person <br />Emergency Conta� <br />����v�'� <br />If cornpleted license should 6e mailed somewhere other than the business address, please attach separate sheet. <br />Recycling services wiZl be prov�ded to {check all that apply): <br />�esidential �ommercial �ultifatnily �dustrial <br />_� � � <br />Number of vehicles ttie appiicar►t proposes to use in the collection of recyclables <br />Name and address of companies or materials recovery facil3ty whera recyclables will be delivered: <br />� �O�ce paper/Boxbaard*�i <br />� ` Glcass'� � <br />Corrugatecl Carrdboard* <br />�� �� <br />*Required items for residential and multifamily haulers <br />I have been provided with a copy of the City of Roseville Curbside Recycling Ordinanca and <br />pror�sions included in the ordinance may result in suspension or revocation of the license. <br />I ha�+e attached a certificate of liability insurance, a <br />Date 1 Ap <br />� ` Carrs/Plastic * <br />f ' <br />Other(please spec�j � <br />�� � <br />that violation of any of the <br />coverage, and the fee of $125.00. <br />'- D�v�� <br />Title <br />�� <br />