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�l�, � <br />� <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651) 792-7036 <br />Recycling Hauler License Application <br />Fee Due: �125.00 Year 2015 (License will be for January 1 to Decen�ber 31.) <br />BusinessName Highland Sanitation & Recycling Inc <br />Business Address PO Box 10, Vermillion MN 55085 <br />Business Phone 651-458-0043 <br />Contact Person Susan Stewart Email Address info@highlandsanitation. com <br />Emergency Contact Information Susan Stewart 651-437-0001 <br />If completed license sl�ould be mailed somewhere other than the business address, please attach separate sl�eet. <br />Rec}�cling services will be provided to (check al] that apply): <br />[�Residential �Commercial �]Multifamily ❑Industrial <br />Number of vehicles the applicant proposes to use in the collection of recyclables 1 <br />Name and addi•ess of compar�ies or• nlaterials recovery facility where recyclables will be delivered: <br />Neivsprint * <br />Glass * <br />Tennis Sanitation for all recyclables—commingled <br />Office papei/Boxboard* Coriugated Cardboard* <br />*Required items for residential and multifamily haulers <br />Cans/Plastic * <br />Other(please specify) <br />I have been provided with a copy of the City of Roseville Curbside Recycliilg Ordii�ance and understand that violation of any of the <br />provisions included in the ocdinance may result in suspension or revocation of the license. <br />I have attached a certificate of liability insurance, a certificate indicating Worker Compensation coverage, and the fee of $125.00. <br />' Vice President <br />- � ' �� r � � ;�J• 1� <br />� Date � Applicant's Sig��ature Title <br />