Laserfiche WebLink
3��ti � �.vi��'�1.� 7� �S ��+�S�es-e�X. � ��� �!'N �t���;r� <br />Name and address of each tr�sfer sffitian, disposal facility and aomposting facility used for each of the following: <br />(attach additianal pages ifneeded) <br />Garbage <br />;, )��. Z��J_t G St% �-� � <br />�J7 �%��'L C1) f-�✓l /�v SL�i�f i���1 ��S <br />�CXJh�L��: S [�S� <br />�aCi Lf��lo .��V-L � J��.�c4� � <br />Yard WasteBrnsh <br />Constrnctioa/Demolition Debris <br />Organics <br />.��C� L`'iU i! � rt�a,c,�t�v� <br />� �j � �'i�� C O( +��,�v. -�r ��r����,3 <br />Include a copy of the disclosure form used to inform customers of the disposal facilities e�sed by the applicant. <br />Residential Customer R�tes <br />Please include all reievant ta�ces and fees including surcharges. <br />These wi�l be published and otherwise made available to residents. <br />5ecvice <br />32 Gal�on Service* <br />64 Gallori Service* <br />96 Gal�on Service* <br />Wafk-up Service'� <br />Additional Garbage* <br />Cost <br />� � (per month) <br />� S (per montla) <br />� � (per manth) <br />�— (per month) <br />Yard Waste* <br />�`These services are reqeured to be offered in Roseville. �P • �� � ` � ` � �� � ��� <br />�� <br />I haue been provided with a copy of the City of Roseviile Solid Waste Coilectton Ordinar�ce and understand ti�at violation <br />of the provisions included in the ordinance may result in suspension or revocation af the license. <br />I have attached a certificate of liability ins�sance, a certificate indicating Worke.r Compensatio� coverage, the fee of <br />$125.0 d a copy ofthe disposal facility disclosure form. <br />� �� <br />Ap icant's Signa e <br />, <br />���� �� <br />���e <br />� <br />Date <br />