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��� <br />��r�- <br />Finance Department, License Division <br />2660 Civic Cen�er Drive, Ros�vili�, MN 55113 <br />(651) 792-7034 <br />Solid Waste Hauler License Application <br />� }� <br />Fee Due: �125.�� '�'��r� �4��? I.i����e �vill be for January 1 to December 3 T.) <br />BusinessName ���� �� �,7���..7�� ���r�� ��� <br />BusinessAddress � iP � � { �� � � � � • � ����;J�,�� ���� <br />Business Phone �1,� r � � � =�� �1 � <br />Contact Person � 1 � � ��. �� � ���+�� <br />Email Address <br />Emergency Contact Information <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 />� Mu(tiple Residential (apartment, condominium, manufactured home park, and townhouse) <br />Cozn� ercia]/Industrial <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 witl he hauled: <br />Garbage Yard Waste <br />��.��� <br />� �1�� <br />Brush <br />Additional rtems such as appliances <br />(attach additional sheet if necessnry) <br />—••---..._._ .. . _ . ._. <br />��.�.�� ��� � � �����.��- �� <br />��� ����� � .���� <br />