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� <br />�.�. <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: $125.00 Year �[.u�' } (License will be for January 1 to December 31.} <br />Business Name [' I '__ � • 1 { '� 4+.� �- �.If .�.._ ' ' �, � c: {_..�,�.� <br />....C_C?.._.1� �"�_ t��� � t o- +J �Y r # � �K � <br />Business Address �r� �� ,�ti,�_ �.� �i� _ <br />Business Pd�one <br />� �7� ? <br />Contact Person �_i,.}.,;s j.�,�. Email Address <br />Emergency Contact Information _ <br />7 <br />If completed license should be mailed somewhere other than the business address, please attach separate sheet. <br />Recycling services will be provided to (check all that apply): <br />_..J��sid�r_Li$I � L: [�fl':I'.5�'vl "�I_. �r+;�:�;-F}r.7� ly ,/l Induslr:�l <br />Number of vehicles the applicant proposes to use in the collection of recyciables � <br />Name and address of companies or materials recovery facility wherc rccyclablcs will bc delivered: <br />Newsprint* <br />� �xk�r'?�� r �r.�+� <br />_� �2,��,Y' htJcxcr�9 �' rt. � Jl.��r <br />f� �" J�/ <br />i"�i��,e{u ri.� /�ilV ��G�f� <br />r <br />Uffice paper/Boxboarci* <br />�+� .... . : _.. <br />Glass <br />* <br />Corrugated Cardboard* <br />*Required items for residential and multifamily haulers <br />Cans/Flastic* <br />Other(please specify} <br />I 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 ordinance may result in suspension or revocation of the license. <br />I have attached a certificate of liability i;y��:t�r c� c�r iGar� a:�u[i�g Vs�ai�'�t.- Compensation coverage, and the fee of $125.00. <br />.� � <br />R��� F�'� � [�rw•.�+�� �•�s� �,r�• <br />�Date �".+�1�.�pllce�s's 51�r�rl7�re Title <br />