Laserfiche WebLink
� <br />— �---- <br />r <br />�.�� � .. <br />�r�. � , � � � � <br />�"Gn-r n�� ��f��:� i•#n�� a d, I.i��a�� I�i� E�i�My <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651)792-7034 <br />Solid Waste Hauler License Application <br />Fee DUe: �iZS.�� Year �{� � (License will be for January 1 to December 31.) <br />Business Name <br />• F <br />Business Address ���p�T�� ���{ ���}V�(",��5 <br />�3� ���[�`�� ST. <br />Business Phone �� Q�l.. �i� Irl��e�i$ ��._�-�.; �"�- � <br />.'1 r / � � <br />Contact Person 1 � , L../ � � , ��,�����,.{ �F <br />�mail Address � � �� _,.� �� ����'_'f �� �� � � � _ . _ .. <br />Emergency Contact lnformation � A B(� (� ^� ^� <br />, <br />If completed license should be mailed somewhere other than the business address, please advise. <br />Solid waste collection will be provided to (check all that apply): <br />_ Residential (single family, duplex, triplex, fourplex) <br />Multiple Residential (apartment, condominium, manufactured home park, and townhouse) <br />—�ommereiaVlndustrial � — <br />Number of vehicles the applicant proposes to use in the collection of solid waste <br />Name and address of disposal or recycling facilities to which waste will be hauled: <br />Garbage <br />Yard Waste <br />�_. ����.. �f����,�_� -�'����� <br />Brush Additiona[ Xtems such as app[iances <br />(auach addif'iona[sheef'if'necessary) <br />��t� ���' ��` <br />��- ������` ���� �_� � .� r Fr'� � <br />