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Fee Due: $125.00 <br />Business Name <br />Business Address <br />Business Phone <br />���i <br />� <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, NIN SSll3 <br />(651) 792-7036 <br />Solid Waste Hauler License Application <br />Year �-�I � (License will be for Jailuary I to December 31 <br />If completed license should be mailed somewhere other than the bust`r�ss address, please advise. <br />I,���� �- �-'�' � �?�� <br />Contact Information <br />Business Niatters: Contact Person <br />Operational Matters <br />Emergency: <br />Einail Address ���'(�(,1'(�Q�� ��.� �� ��E i i� t <br />_ �-��.. � ��! 1 i t' � . �JJ "i��i <br />� ,/ <br />Contact Person �, � ��; � � (�� <br />En�ail Address <br />Contact �Iame: <br />Cell Plione: <br />''� I h - �`� � - �. �> �� C� <br />In the event that, while operating in Roseville, a collection vehicle leaks or spills either vehicle fluids or fluids or debris <br />from material collected the company mttst contact the City within oue business day witli information regarding the material <br />involved, the amount of material involved and the steps taken by the company to nutigate and remediate damage. This <br />contact does not absolve the company from li�bility. <br />The City expects tliat in the case of a natural or nzan-i��ade disaster or a public hea(th crisis yotu- company will be able to <br />continue service. Yot�r company should plan for .contintiity of opera�ions through an emer�ency operatious plan. Does your <br />company have an emergency operations plan? i� Yes No <br />Your company must notify the City when you activate your emergency operations 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 />�� <br />Residential (single family, duplex, triplex, fourplex) <br />�� iVlultiple Residential (apartment, condominiunl, manufactured home park, and townhouse) <br />,�� CommerciaUIndustrial <br />�Iumber of vehicles the applicant proposes to use in the collection of soLid waste <br />/� � <br />(over) <br />'�� J <br />