Laserfiche WebLink
� �i <br />� � � � ��� <br />�..�. o — — <br />�inance Department, License Division <br />2560 Civie Center Drive, Roseville, MN 55113 <br />(65�)'792-7034 <br />Salid VVaste Haule� Licer�se Appiica�ion <br />�+"ee Due: $1�5.00 Year �OQ �{License will be for 3anuary 1 to DecemUer 31,) <br />Business I�iame ' Q � i Yi P. 5o t� C. . <br />�3usiness Address C3 Ci C.i. �'�" <br />�3usiness Fhone '�'..3 ° � D "" � � � <br />Contact 1'erson � <br />Email Address <br />�mergency Contact Information �a-�1't� L'�S �.4�n�l.�P. <br />��'cornple�eri ircense should be mai�ed somewhere nihe� than the �usi��ess �ddress, please advise. <br />Sol'€d waste collection will be pravided to (ehec[c atl t�at app[y): <br />�( Residential (singic family, dup[ex, trip(ex, fourptex} <br />� l�tultip�e Restder�tial {apartment, condominium, manuFactured horne partc, and �awnliouse) <br />� Commercialllndustrial <br />Number of vehictes the applicant prnpnses to use in tlte coliaction of solid waste �� <br />Name and acidress of disposa[ or xecycling faeiiities to which waste will �e hauled: <br />Garbage �'ard Waste <br />�.�.�. a r, Y1 t�. �. � z� � v� S c u .S <br />i:t3� �'�u.ltci� �.e. 5 i� -- <br />Brc�sh <br />_ � C�. �vt a �t � �t�orr.l t.� a� � � . <br />1 LL � 4� <br />.4dditional Items sucla as appli�rrsces <br />(att[aclr additianal slieei if necessary� <br />�,f.� �.�-.e �/l �n n r.� � � v�,v_ � �---- � Yi � � �z� 1 �-e °� <br />, _ <br />4 f�. � s .�' <br />e t�l �a� <br />