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��� <br />�� <br />Finance Depart�nent, License Divis'r4n <br />2660 Givie Center Dr"rve, Roseviile, MN 551�3 <br />� (651) 792-'i034 <br />Solid Wa�te �a��er� L�cense r�pplieation <br />Fee Dtle: $125.00 Year�� (License wili be i'or January 1 co ](]ece�nber 31.) <br />Business Name �� � �� l'7 � � V `� ...,d-- �� <br />Busitless Address � �� �� �i� �� � <br />Business Phone �� <br />Contact Person <br />Email Address <br />�mergency Cantact information ____ <br />��' cc�mpieied lieense shoutd be tr�ailed somevvhere other tllan tl�e basiness �ddress, �tease advise. <br />Solici waste collection will be pra�ided to (checic all that app3y): <br />� Residential (sit�gle family, duplex, trip�ex, fnurpfex) <br />`� Multipte Residcntia[ (a�aarkment, candominiun�, manufactured hosne park, and townt�ousej <br />� Commerc€al/lndust�•ial <br />I�u�nber of v�hieles the applicant proposes to use in the eallecCion af solid wasYe � <br />Name and address oF disposal or recyc]i€�g facilities eo whlch waste will 6e hauled: <br />Garbr�ge Yarcl Wuste <br />�...� � _�.�` � m -- - ���3h'l �l.�T �� j"-�.. <br />SraisJz Arlditional fiems sa�ch res appliat:ces <br />['""`, �,� _„ n��� (attaclr r�rftlitzannl slreet if ltecessary) <br />'.)��.�r_�--� <br />�.�' � � �° �° �. �,� <br />!.. L� �. �..�_ <br />