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���► � L-� <br />� <br />Finance Department, License Division <br />2b60 Civic Center Drive, Roseville, MN 55113 <br />(6S1) 792-7036 <br />Recycling Hauler License Application <br />Fee Due: $125.00 Year ��� (License will be for January 1 to December 31.) <br />Business Name Hi�hland Sanitation & Recycling Inc <br />Business Address PO Bo�� 10, Vermillion MN 55085 <br />Business Pl�one 651-437-0001 <br />Contact Person Susan Stewart En1ai1 Address info@highlandsanitation. com <br />Emergency Coutact Iuformation Susu1� Stewart 651-437--0001 <br />If completed license should be mailed somewhere other than the business address, ple2se attach separate sheet. <br />Recycling services will Ue provided to (check all tll�t apply): <br />[�Residential �Commercial �Multifamily �Indust�•iai <br />NumUer of vehicles the applicant proposes to use in the collection of recyclaUles 1 <br />N1me and address of companies or materials recovery facility where recyclables will be delivered: Tennis Recycle for all <br />Netivspt^int * <br />Office pccper/Boxboar�d* <br />Glass * <br />Cor��^zcgatecl Cardbon��cl* <br />*Required items for residential and imtltifainily haulers <br />Cans/Plastic * <br />Ot/aer(please sl�ecifj�) <br />I have been provided with a copy of the City of Roseville Curbside Recycling Ordinauce and understaud that violation of auy of the <br />provisions included 'ul the ord'ulance may result in suspension or revocation of the liceuse. <br />I have attached a certificate of liability inst�rance, a certificate indicating Worker Compensation coverage, and the fee of $125.00. <br />� ` ' °�� "" �S ���.. ��` Vice President <br />Date Applicant's Signature ` Title <br />