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Fee Due: $125.00 <br />Business Name <br />Business Address <br />`�� <br />�.�r <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651)792-7036 <br />Solid Waste Hauler License Application <br />Year �� � <br />� <br />(License <br />� <br />be for Jauuary 1 to December 3 l.) <br />� � ���... � ��r'�1 �� �i�� - <br />� � c��� ��fi �"� � <br />If completed license slzould be mailed somewhere other than the busine ddress, please advise. <br />Business Phone iC,J � � � i� (C..�+ ��� � � <br />Contact Information <br />Business Matters <br />Operatioual Matters: <br />Emergency <br />Coutact Person <br />Email Address <br />Contact Person <br />Email Address <br />Contact Name: <br />Cell Phone: <br />��� �� <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 Uusiness 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 nahiral or man-made disaster or 1 public health crisis your company will be able to <br />continue service. Your company should plan for continuity of operations through an emergency operations plan. Does your <br />company have an einergency operations plan? � Yes No <br />Your company must notify the City when you activate your emergency operations plan, and inform the City of relevant <br />inforination 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, fourplex) <br />�Multiple Residential(apartiilent, condoininium, manufactured home park, and townhouse) <br />� CouunerciaUIndustrial <br />Number of vehicles the appliclnt proposes to use in the collection of soLid w�ste �"' <br />(over) <br />� <br />� <br />