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Name and address of each trans%r station, disposai facility and composting facility used for each of the foilawing: <br />(attach additional pages if needed) <br />Garbage ConstructionlDemolition Debris <br />� �i.�e [cf ��/' •S'/� 1 /i6'►� ���lL C� <br />Ysrd WasteBrash Organics <br />�'._ G r� f���'i` � '�" <br />Include a copy of tlle disclosure form used to inform customers of the disposal facilities used by the applicant. <br />Residentia! Ce�stomer Rates <br />Please include a!I relevant taxes and fees including surcharges. <br />These wil! be published and otherwise made available to residents. . <br />Servica <br />32 Gallon Service* <br />6�4 Galion Service* <br />96 Gallon Service* <br />Walk-up Service* <br />Additional Garbage* <br />Yard Waste* <br />o r� � ��- Fd� p � ►�psr�ns` <br />*These services are required ta be offered in Ttoseviile. <br />Cost <br />� (per month} <br />� (per manth) <br />I¢ {per month) <br />! 1' (per month) <br />I have been pro�ided with a copy of the City of Roseville Solid Waste Coliection Ordinance and ��nderstand that violation <br />of the provisions inciuded in the ordinance inay result in suspension or revocation af the license. <br />I have attached a certiftcata of liability insurance, a certificate indicating Worker Compensation coverage, the fee of <br />$125.00, and a copy of the disposal facility disclosure form. <br />Applicant's Signature <br />� <br />Title <br />1 z� - �3 <br />Date <br />