Laserfiche WebLink
���� � <br />�F►� � r t�� 1 � <br />Finance Department, License Division <br />2660 Civic Ce�rter Drive, Roseville, MN 55113 <br />(651)792-7034 <br />Solid Waste Hauler License Application <br />Fee Due: $125.00 Year �� (License will be for January 1 to December 31.) <br />BUSlrie55 NaYYIe �?� �� r n ��- r r. - �,�,�,�,� <br />Business Address 17 2 5 M E A D 0 W V I E W R Q <br />Business Phone '�� � � ` �� � - ���f � 7 <br />ContactPerson T���`�� �'� �4 ��-�- t <br />Ezt�ail Address <br />� <br />Emergency Contact Information T��„'�a �' � �., ,. _ <br />If completed license should be mailed somewhere other than the business address, please advise. <br />Solid waste collecrion will be provided to (checic all that apply): <br />Residenrial (single family, duplex, triplex, fourplex) <br />— Mulriple Residenrial (apartment, condominium, manufactured home parlc, and townhouse) <br />� <br />Carnmercial/Tndustrial �� � � - f�' ��'�',�'i'}�i i!'� �� ,�',�.��;� � <br />Number of vehicles the applicant proposes to use in the collecrion of solid waste <br />Name and address of disposal or recycling faciliries to which waste will be hauled: <br />Garbage Yard Waste <br />�-� ���� - <br />� <br />Brush <br />- — --�' � <br />�• <br />Addiiional Items such as appliances <br />(attach additional sheet {f nec¢ssary) <br />