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� � ° <br />_,�i;�r1 �,,. . � . __ �_. .!`_..,� <br />Finance Department, Lieense �ivision <br />2fi6Q Civic Center �rive, Roseville, MN 55113 <br />(651) 792-70�4 <br />Svlid �aste �aul�r ��cense Appliea�io� <br />Fee I➢ue: �125.OQ Year d��� (Licens� wit[ b� for January l to �3ecerz�ber 3l.) <br />�usia�ess Name <br />Busincss Address ��� ������� � �7�� �� <br />�z�� �,���. ��r��u� <br />s�s����s ���o�� <br />, , <br />Ccrntact T'ersaz� <br />Email Adds'ess <br />En7er�ency Contact inforination i.—x�.. , . . <br />if ct�mptetcd �icense s�a�ld be inailed sorr�evv'�ere other than t��e �usi��ess ac�dress, �I�ase advise. <br />Soiid waste col�ectio� �vil� be provided ta (check ati ChaC apply}: 7��L�. Q.�-�s ('�y� (�� �� ��D �]�J�tllt.l�� <br />� P�esident'sal (singie fan�ily, duplex, triplex, faurp�ex} ������J <br />� �rnc��i �~irry� <br />(�,� Gk� � C�� ��Z�I C.� <br />� Multi�le ResidenYial (apartmenC, condomiilium, manufactured ho�ne parA, ar�d �o�vnhousej Gy-1. {,� ,� <br />-�`.� <br />CommerciallIi��ustria! <br />Nuznber of vehicles the applicant proposes to use in the cotiection of solid waste <br />Nan�e and address of disposal ar recycling Facilities to vvhich waste wilE be hauied: <br />�r.;bage <br />,�rusl� <br />Yarci IVaste <br />� <br />�-..�__..� �.�-�-��--G �.�. <br />Additi�onal Iter�s sa�cls as nppfirrrzces <br />(nttncf¢ a�lriitional sheet if �recessary) <br />