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� ���� <br />� �r� <br />r <br />��.� � , , _ � �R � <br />Finance Department, License Division <br />2660 Civic Center Drive, �osevilie, NiIV 55113 <br />(651)792-7034 <br />Solid Waste Hauler License Application <br />Fee Due: �i2S.00 :': ar ���_ (License will be for January 1 to December 31 ) <br />$usiness Name �J.I� 1r � z7[�� ����� ��� i �-K.-[ ��f�.� s- <br />Business Address �� � i ,�L.lc' �!, � ��ti ' �� ,�- �"(,{,,�.�--r 7 l ar � � 1 � � <br />Busiraess Phone �_.�—��� <br />Contact Person �,f.���J[r���� <br />Etnai( Address <br />Emergency Contact Infnrmation ��� ��}���.�'1 ����� j �� }" '•-��+�" ��� <br />If completed license should be mailed somewhere other than the business address, please advise. <br />Solid ��aste collection will be provided to (check all that apply): <br />��� ���� m ����� ��'��� �� <br />_ Residential (single family, duplex, triplex, fourplex) � '� <br />�F���� � � <br />_ Multiple Residential (apartment, condominium, manufactured home park, and townhouse) -���.,+� ��� �}. �• �{�r <br />��� k_�� <br />Commeraiallindustrial �� ��•� { �—�� <br />Number of vehicles the applicant proposes to use in the collection of solid waste l� �� ����`' `�"� <br />�iame and address of disposal or recycling facilities to which waste will be hauled: ��� �� .}� �� <br />� <br />Garbage <br />�r� <br />Yard Waste <br />f[drtrtionaCl'tentssuc/t as appliances <br />(attach additional sl�eet if neeessary} <br />