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Attachment A Or S v rviso jEj v; qj L - , L-wdix Ai LEA Finance Department, License Division 2660 Civic Center Drive, 1 Roseville, MN 5511 (651) 792 -7036 Solid Waste Hauler License Application Fee Due: $125.00 Year (License will be for January Ito December 1. Business Iarne 4A S„ S2� , Business Address If completed license should be mailed somewh&e other than the business address, please advise. Business Phone 4 Contact Person k�- (Business flatters K r Email Address Dy%-6s oy% i -k i Qc� S Contact Person (Operational Matters Email Address rnrgency Contact Inforat -L=..r Contact Name: Cell Phone: Alternate Contact. Information: In the event that, while operating in Roseville, a collection vehicle leafs or spills either vehicle fluids or fluids or debris from material collected the company must contact the City within one business day with information regarding the material involved, the amount of material involved and the steps taken by the company to mitigate and re mediate damage. This contact does not absolve the company from hibilit . The City expects that in the case of a natural or man-made disaster or a public health crisis your company will be able to continue service. Your company should plan for ontinuity of operations through an einergency operations plan. foes your company have an emergency operations plan' AYes E]No. Your company must notify the City when you activate your einergency operations plan, and inform the City of relevant information regarding provision of collection service under the plan. Solid waste collection will be provided to (check all that apply): a residential (single family, duplex, triplex, fourplex 10 Multiple Re's. identi l (apartment, condominium, manufactured home park, and townhouse) !rC61nmercial/Industrial. Number of vchicles the applicant proposes to use in the collection of solid waste CQ (over)