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, <br />'i <br />i� <br />���,,���' .�: �,�.� <br />� <br />F�na7ice �epartment, License l]ivision <br />2660 Civic Center Drive, Raseviile, MN 551I3 <br />(65�)792-7034 <br />,�ol�d �aste �au�ier Licea�se A�pl��ation <br />Fee Due: �125.0� I'ear��-�(t.,icense will be for 7anuary ] to December 3I.} <br />Busi�less Narne <br />F3usiness Address <br />T�usiness Plzane <br />Contact �ersnn <br />Cmail Address <br />���" r� ' � �� ,�.�.- <br />� � � ,� ��� � ' � � <br />Emerge��cy Contact Information <br />�f eompleted license should [�e rr�ailed somew7laere ather tlia�i th� business address, �Iease adr�ise. <br />Solid waste collection will Ue provided to (elieck al! that apply): <br />�_ Residential (s�g�3e-€�n�y, duplcx, triplex, four�lex) <br />�f Muliiple Residential {apartine��t, condon�ir�ium, mai7ufactured home paric, a��d cownhause) <br />�t Commercial/indusYriai <br />Nu�nber of vehfc2es t�e applica��t proposes to us� in the collection of solad waste <br />� ..... _ � <br />Name and address o�'disposai or recycling facilities to which waste wi!] be hauled: <br />Garbage <br />�-� �'� .�..�._ _ <br />Yurd Wir�ste <br />t / �� �---�' �^ C� f' �. Si�./ �,� � � % <br />� ��� <br />Bruslz Addrtionnl liems sucl� as ap�fia►TCes <br />�.....,.�-� , , .� �nt r�cl: aa`difiori�rlsheet ifriecesscrry} <br />�? i/°` t� 6r'C.'�'.. _ l� �c�1 �.�,� <br />(,�, �, ����� ��'c�cc� � � � � � � i � .�- <br />.:� s � ��.�^ � C' ��.�� �� i�� <br />�s� � � <br />