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�_,�,.�..� '.�9..�� , �� �f �� <br />� <br />Finance Departrrlent, License lL7ivisivn <br />2660 Civie Center �rive, Rose�ille, MN 55113 <br />(65�) 792-7034 <br />Soifd Waste Haul�r License Applica�ion <br />Fee Dute: $125.00 Year �� (�icense wil� be �'or January I to i?ecember 3I .) <br />IIusii�ess I�Iame � � �E . <br />Business�lddress �0. v;� le7 4, �tN� i'�N ����� <br />Business �hone ?�� ^ ��e� - �YG `l <br />Contact Person _ <br />Email Address '"' <br />Emergency ConEact Infor�natian _ <br />If coanpleted lic�nse sliould be maiied somewher� other than �he business address, pt�ase advise. <br />Sal'€d wasfe coliectian wil[ be provided to (check all that apply}: <br />�Stesidentiai (single farnity, du�lex, tr€plex, fourplex) <br />� Multiple Residentia[ (apartrr�ent, condnminiuin, tnanufactured home park, and towa�hause) <br />� Con�merciaVIndusfria] <br />7�lu�nber oivehicles tl�e ap��'scanC proposes to usc in the cotlection of salid waste <br />_�,—� ... <br />Name a�ld address of dispqsal nr recycling faciliYies to whicli wasCe will h� hauled: <br />Garbage Yarr! Waste <br />'�" � �rLi" '�' .56� - - s� �r�'oi�. �� ._ <br />_� �dl�§ � �15Ao�� �!r ��7Y - <br />Brusls Arlrlrriorta171eh:s suclt �s a�plfances <br />(attach nrlditrnriat slreet if necessary) <br />.,N�t�led'6.4o6°� _l�� ��,._. <br />��_� o <br />