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�� <br />,�� . ,. <br />Finance De�artmenf, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651)'192-7034 <br />Sol�d Waste H��l�r I.,icen�e A.�►plieatinrn <br />Fee T�ue: $�25.00 Year U� (License will be for Jar�t€ary 1 to t�ccember 31.) <br />Busir�ess 1Vame R Ct.1�1_,��i_ � � � L'�#^Ld'�R`�01�1 r ��?� G � , _ __, _ <br />1 <br />Business Address �'� � �y U , 5. 1��V 1� s � . �� �a �l /� 9 �C�? (a.�ri �. �Yl n � �53�;�,r� <br />� <br />Bustness t'E�one �(o �J 7r�.— 3.� 3 <br />Coniact Person - <br />�mail Address <br />�. <br />Ernergency Contact Information <br />If cam�l�ted i'rcense sliould b� mafled somewlaere nther than �he busiriess address, piease ac�vise. <br />Solid wasta coilection will be provided to (checic all that apply}: <br />� Residentiai (single farnily, duplex, triplex, fourpiex} <br />i! Multiple Residential(apartrnent, ec�ndominium, �na€zufactm•cd �iarr€e park, and town��ouse) <br />t� Commercial/Tndustrial <br />I�lumber of vehicles ihe applicant prn�oses to use in tl�e collectioi7 of solid waste <br />Name and add�•ess of disposal or rueycling facilities to whieh waste wifl be hauled;`�� <br />Garbage <br />�'ard Wastr.� <br />L�������� <br />c�°����-�' <br />,8r•uslz Additionnl Itenys suclz as nppli�nces <br />(ntXnch �ddltiorralsheetifneccssrr�y) <br />