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���. � �� <br />Finance De�artment, I�icet�se Division <br />2650 Civic Cen�er Dri�e, Roseville, MN 551 �3 <br />(651) 792-7034 <br />So�id Wasie Haul�r Lic�n�e Ap�lication <br />�'C� Due: $125.0� Year ,.�c)�r (Licer€se wilt I�e for January ] to Decerr�ber 31.) <br />�3usiness Narne <br />B���n��� R�a��ss i�A� �Mi����C�N +� ��3�l� Ct�. ����. <br />Business i'ho€ae ��� ���°��� ��" <br />�"Pa �AUL.: <br />Contact Pe�•son '� � Np��-fr/� <br />— �,.� <br />��nail Address , . . . <br />Fmergency Co�itact Info�•matiai� <br />�#'c€�mp�e�ed iicense should be �r�aiNed sa�e�vhere otlier than tl�e business address, please advise. <br />5alici wasEe cnllection wiil be provided to (cheek a1! that apply): <br />� Residential (single family, dup[ex, triplex, fourplex) <br />� Mulcipie Residential (apartment, condominiurr€, manufaccured home park, and townhouse} <br />� Gommercial/Indusirial <br />Number of'vehic[es t3�e ap�licant proposes to use in tkae collectian of solid waste �.,..,,,,., <br />3�ame and address of dasposai or recycling facilities to which waste wii! be hauled: <br />Grrrfi�rge Yard Waste <br />�� � _ ��Q",f� <br />73rush <br />�e' '?`t',�1 �`°i� --- <br />Adrlitinixal Iterns sttelt as ep�plicrazces <br />(att�cl: artditiona! slaeet rf �recessar��) <br />-� v,!' 1 � n� C,� ��� <br />