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��� <br />��� <br />�.�M� <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651) 792-7034 <br />Recycling Hauler License Application <br />Fee Due: $125,00 Year .���� (License will be far January �. to December 3I,� <br />� <br />BusinessName �1 f5�� „_„_�_ _ <br />Business Address,� .� � � � .� � �F � ��-� . �� � �� � � <br />� ������� ri�,:��t . ��. - � �� — �.�7 � _ <br />Co��� 5: � �'� r�;F.� �.� .. . �,� �? ,�e� �. ,__ .— --- � <br />n• �:I A�eees <br />Emergency Contact lnfarmation <br />If completed liconses should be mailed somewhere other than the business address, please attach separate sheet. <br />Recycling services will be providedto (check all that apply): <br />}�C.y:t, r_I iA �. 1� '�'C�7�ir.ti t:�_� _�Lu I[If�u•�i I�• �.]ri4u5Li idl <br />Number of vehicles the applicantproposes to use in the collection of recyclables � <br />�iame and address of companies ar materials recovery facility where recyclables will be delivered: <br />N ewsprint* Glass * Cans/�'dastie * <br />� <br />�� ��� - �� ��� ��� ��r�. �. }� � —� <br />�f�eepaper/Boxbacard * Corrugated Cardboard* C7ther(please spea�} <br />�.������ ����� <br />*Required items for residential and multifamily haulers <br />1 have been provided with a copy of the City of Roseville CurbSide Recycling Ordinance and understand that violation of any of the <br />provisions included in the ardinance may result in suspension or revocation of the license. <br />I have attached a certificate of liabili: i �-fiti�•, ��•cr.FFN_�� i�i��!�ir � cNk _r �'�mi �c.ti����u _•u�er ��e, nir.l ihe fee of $125.00. <br />�`�� ��6 ����..�+��� � � +� <br />J�ate �p�rh��u''s �ie_ia[�rt• Tirle <br />