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�1�� <br />� <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville,lVIN 55ll3 <br />(651)792-7036 <br />Solid Waste Hauler License Application <br />Fee Due: $125.00 Year �,fSj �(License will be for January 1 to December 31.) <br />Business Name �� J�� � <br />Business Address � � ' {� �6�� � , �; �� � � <br />If completed license should be mailed somewhere other than the business address, please advise. <br />Business Phoue � ��,' ��� ��u(� <br />Contact Information <br />Business Matters; Contact Person <br />Einail Address <br />Operational Matters; Contact Person <br />Email Address <br />Emergency: Contact Name: <br />Cell Phone: <br />In the event that, while operating in Roseville, 1 collection vehicle leaks or spills either vehicle fluids or fluids or debris <br />from material collected the company must contict the City within one business day with information regarding the material <br />involved, the amount of material involved and the steps talcen by the company to mitigate and remediate damage. This <br />contact does not absolve the company from liability. <br />The City expects that in the case of a narizral ar man-made disaster or a public health crisis yotu company will be able to <br />continue service. Yottr company should plan for continuity of operations through an emergency operations plan, Does your <br />company have an emergency operations plan? L/Yes No <br />Your coinpany must notify the City when you activate your einergency oper�tions plan, and inform the City of relevant <br />information regarding provision of collection service under the plan. <br />Solid waste collection will be provided to (check all that apply): <br />� Residential (single family, duplex, triplex, fouiplex) <br />�Multiple Residential (apartment, condoininium, manufactured home park, and townhouse) <br />"'CoimllerciaUIndustrial <br />Number of vehicles the applicant proposes to use in the collection of solid waste � <br />(over) <br />