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� <br />�� .. � .. <br />�� � <br />F"inan�� I�epartmen�, �.ice�s� Di�asia� <br />2660 Civa� �ente� Dr�ve, Ras��v�lle, MI�i 55113 <br />(6 a� } 792-7034 <br />���id Wa�te l�aul�r I�����se App�ic�tion <br />�'+ E� D1��: �12�.flQ Year �� (Licease will be for 3anuxty I to Decetr�ber 31.) <br />Business Name � �� �.��`��-, ��� C <br />Busixtess Address ��� � <br />�1�-C__��-l..'� �-E� �:�t �k +� �7 <br />Business Phane � � �-. ��c .1-- \ i�7 .+ <br />Contae� Person <br />� .�_._ .,� <br />F'mail Adaress <br />�mergency Contact In�a�zn.atior� <br />� � �.-- �--- � w-- -- --- • �. <br />I�' cat�pleted lic���e s6�ould be �ailed sc��e�[���°� atihe� iha� ihe ba��iz��ss �dd�°��, �[e�e advise. <br />So9id waste collection will be provided to (c�eck ali that appIy}. <br />� Residenti� (singie fatniIy, duplex, fripiex, faurplex} <br />� Multiple Resiriential {aparttzteni, condomit�iutn, �anufactured home patic, and townhouse) <br />� Commercial/dudustrial <br />Nufmber of vehicles khe applicant propases to use in the cnitection of saIid waste � <br />Name and address ofdisposal nr recyeling �acilities ta whict� r�as#e wili be hauled: <br />Garbage <br />I'ard i$'�asts <br />�,1� �=,v-e.�` �.,a�P c.e �ca�,.� �- E1k�c7ec' �'.�"C"' PrcG�� �° .�if-c �-�►s <br />�GI k �.� �e.�r �:ca.r�._ ��i..t� - E=! k '��' �! �.i(. tu( n! <br />{.�4��. Pr��. [�i � �� ��wl � �C�:rc�r?�,_ ���� <br />\1i�,. ���,� -r'�aS S�#?.�i� — <br />. �I��'�k �� <br />Brush �&ddatio�aallter�s such as 8pplirances <br />(attrach additianalsheet ifnecess�ry) <br />�,(Z�T' -��'cC����� ���.��ri..S _ <br />��`S �� LX:�-r�[.E. r� �Cr t.�'c..�e �' � <br />� t?[s� 4 j C`�.�.a~•f t�..au �e. �l � � � �v'e_� [�,�,� ��,5 <br />� <br />