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��� <br />�.��� � , , � � � <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, N.�T 55113 <br />(651)792-7034 <br />Recycling Hauler License Application <br />FeeDue: $125.00 Year 2007 (Licens�willbeforJanuary I.loDecember3l.} <br />�3us�nessNan�e As�en Waste Systems, ��c- <br />Business Addzess 2 9 51 �8_�:?� ���•� S. E. . t��n � F ���414 <br />Busir�essT'hn�e 612-884-8� <br />Contact Person <br />Emergency Contact I���4i�lation <br />�traaa� Address <br />If��p]ttrd license should be mailed somewhere other tltan t�ie business address, please attach separate sheet. <br />Recycling services will be provided to (check all that apply): <br />Residential X Cornrn�rciat�Mu€tifarniiy I��dustriaf <br />N•�::i',�1' I 4t x'4I5�:.Ic p i:�� .:i nl it�v7 E7i t��y `sc� ;1L usr. -r. I ie t��:� r. LIL�IS L`i rt�.k•�!7hi•`•'� <br />Name and address of companies or materials recovery facility where recyclables will be delivered: <br />Newsprint �` <br />Pioneer Paper <br />Office paper/I3oxboard * <br />Gla.s.s * <br />B FI BFI <br />Co�^ru,gated Cardfioard* <br />Pioneer Paper Pioneer Paper <br />WI4Y� <br />*Required items for residential and mulrifamily haulers <br />Gans/f'lastic * <br />Oiher(please specify) <br />I have been provided with a copy of the City of Roseville �urbside Recycling Ordinance and understand that violation of any of the <br />oi t•� i�i��'�� included in the ordinance may result in suspension or revocarion of the license. <br />I have attached a certificate of liability insuran _�, .i vvrti f ic•=it i� �i� . ii� �ker Co��pens&tion coverage, and the fee of $125.00. <br />�,�7 '� . . ,������;�'�� — r� — � <br />'� -t�f_ �'� �s}FJiir�t? <br />�dt� �p�rl':.au1'� �igna[�re � i �IC <br />