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J��� <br />I�...- <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��& (License will be for January 1 to December 31.) <br />Business Name INTERNATIONAL PAPER <br />Business Address 2425 TERMINAL ROAD, ROSEVILLE MN 55113 <br />Business Phone <br />Contact Person NICHOLAS JENSEN Email Address NICHOLAS.JENSEN@IPAPER.COM <br />Emecgency Contact Information 651-635-1405 JEANEEN.POZNIAK@IPAPER.COM <br />If completed license should be mailed somewhere other than the business address, please attach separate sheet. <br />Rec}�cling services will be provided to (check all that apply): <br />❑Residei�tial �Commercial ❑n�ultifa�nily �Industrial <br />Number of vehicles the applicant pcoposes to use in the collection of recyclables 4 <br />Name and address of companies or materials recovery facility where recyclables will be delivered: <br />Neivsprint * <br />Of frce ��ape�/Boxbocn�cf* <br />Glass * <br />Cor� ugated Cm•dbonrd'�` <br />*Required items for residential and multifamily haulers <br />Cans/Plastic � <br />Other(p[ease specifi�) <br />I have been provided with a copy of the City of Roseville Curbside Recycling Ordinance and understand that violation of any of the <br />provisions included in the ordinance may result in suspensi or revocation of the license. <br />I have attached a certificate of liability uraiice, a certi ca indicating �Vorker Compensatio�i coverage, and tlie fee of $125.00. <br />1 U10/20l 5 ��� GENERAL MANAGER <br />Date Appl ant's Signature Title <br />