Laserfiche WebLink
����., .. � <br />� ,� <br />Finance Department, License Divisian <br />2660 Civic Center Drive, RQSevilie, MN 55113 <br />{651)792-7034 <br />5olid Wastie Ha�ler Licen�e Ap�iic�ia�n <br />�'+eQ Du�: $125.00 Year ,7pOY (License wiil be for January 3 in December 31.) <br />Bi15lIleSSNc1t17e ��`: �. �..`J ' 1fk5�s.o .s0 i� ��..5^��- �wS}W }G�.. �3h fc�..ad�+.�l <br />8usiness A ddress ��� � ��. o ��1 � d�• ��-•-�� �-� . 3 5/ a <br />�3usiness l'hone (p si — '��'d � ^ Y.3~Y G- <br />Contact Person u-a�- �. ; �Co"�"�'t <br />�mail Address �--- - , -- __ � <br />Emergency Contact information S -t,.n-,.2� <br />If comp�eted Iieense should be rnaitad somewhere other than the �iusiness adc�ress, piease advise. <br />Solid waste coliection will be pravid�d to (check al[ that apply}: <br />______ Residential (ssngle famify, duplex, criplex, fourplex) <br />�Multiple Residentia] (aparGinei�t, cpndomin'suGn, manufactured home park, aiid townhouse} <br />� <br />Carnme��cialli��dustrial <br />Nu�nUcr of vehicles the applicant proposes to use in the collection af salid wastc ,_ � <br />Name and address of disposai or recyclir,g facilities to which waste wilt be f�auled: <br />Carbrrge <br />Yard Waste <br />V�OI�w Ti� ., V'oSt'tws l���� 6 µ� a.S�Y- JfwwS�� j(/ � <br />�� f [_,,,-� �F.0 �V 4- <br />� J �I ' �"r' k,,� �}/� n. . 5 �J � v l <br />Bruslt <br />� <br />Aciditional Iten�s sueh as rrpplia,rces <br />�t (attach udditiAr¢al slaeet if �aecessnry) <br />Vu•{t... �S �'li'ti��i.y Ss�E: � w�w5�c_ Trrti•,5%� 5�'y �y.�,r. <br />30� � �� ��,�, <br />S� Pw.�,l �.�. ss, �3 - <br />