Laserfiche WebLink
Name and address of each transfer station, disposal iacility and composting facility used for each of the following: <br />(attach additional pages if needed} <br />Garbage Construction/DemoIition Debris <br />IV�" L[i D� r' 1" � I� �� �'G� I!'i� 11 Cc C� _� <br />a�a � ��nY �.�� � � ,� <br />�p� ��- �� .��o�� . <br />Yard Waste/Brash <br />�� r f� i► <br />� �� t � 11 il <br />�� � 1/ I - <br />Organics <br />Inc�ude a copy of the disclosure form used to inform customers of tha disposal facilities used by the applicant. <br />Residential Custorner Rates <br />Please include all relevant taxes and fiees including surcharges. <br />Thase wi[l be published and otherwise made available to rasidents. <br />Service <br />32 Gallon Service�' <br />64 Gallon Service* <br />96 Gallon 5ervice* <br />Walk-up Service� <br />Additional Garbage* <br />Yard Wasta* ' <br />�'These services are required ta be offered in Roseville. <br />Cost <br />3 ; (per inonth) <br />, (per month) <br />� �l� (per month) <br />1 c� � � � (per month) <br />�/a rf� � <br />�.c � <br />I have been provided with a copy of the City of Rose►+ille Solid Waste Collection Ordinance and understand that violation <br />ofthe provisions incIuded in t4tie ordinance may result in suspension or revocation of the license. <br />I have attached a certificate of liabifity insurance, a certificate indicating Warker Campensation coverage, the fee oF <br />$125.00, and a copy of the disposal facility disclosure form. <br />. * <br />plicant's 'gnature <br />Li.STYrGT !�lCLN ��.P !� <br />Titie <br />— I� <br />Date <br />