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2014_0113_CCpacket
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2014_0113_CCpacket
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1/9/2014 3:10:31 PM
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Marne and address of each transfer station, disposal facility and composting facility used for each of the following: <br />(attach additional pages if needed) <br />Garbage <br />N�:�, d�. V,." r". lsc�o=� <br />t-j 155 <br />Yard Waste /Brush <br />Construction/Demolition Debris <br />Wq�-V f <br />Organics <br />Include a copy of the disclosure form used to inform customers of the disposal facilities used by the applicant. <br />Residential Customer Rates <br />Please include all relevant taxes and fees including surcharges. <br />These will be published and otherwise made available to residents. <br />Service <br />32 Gallon Service's <br />4 gallon Service` <br />96 Gallon Service's <br />Walk-up Service's <br />Additional Garbage* <br />Yard waste* <br />*These services are required to be offered in Roseville. <br />Cost <br />t laz (per month <br />,,� (per month) <br />, ON S {per month <br />ro-t ) <br />+ �%k ,, (per month) <br />pzr ?3 OC <br />I have been provided with a copy of the City of Roseville Solid waste Collection Ordinance and understand that violation <br />of the provisions included in the ordinance may result in suspension or revocation of the license. <br />I have attached a certificate 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 />Title <br />Date <br />
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