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�� � � <br />� <br />Finance Department, License Division <br />2660 Civic Center Drive, Rosevitle, NIl� 55113 <br />(651)792-7034 <br />Solid Waste Hauler License Application <br />Fee Due: $125.00 Year �(License will be for January 1 to December 31.) <br />I � �5' � , �� r <br />Li�S iI;v55 i�;C]C . L� cy�17�� ���Ll�r� 4. ` _��=ti7 �- . - - <br />� — <br />Ausi�+easAtiidresa ��� � � � �1..��. ��4.5 �Lr�? .� �� � �� <br />�i«inesa Fhpne �{p,� - � �}• �J �i{�� _ . <br />t'iu:lac•I Y�, sur _ ��. � � •��`�i—'—'"�� -� . <br />Email Address <br />Emergency Contactlnformatic <br />If completed �icense should be mailed somewhere other than the business address, please advise. <br />Solid waste collection will be provided to (check all that apply): <br />� Ttesidential (single family, duplex, triplex, fourplex) <br />'� Multiple Residential (apartment, condominium, tnanu�actured home park, and townhouse) <br />� CommerciallIzadustrial <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 will be haaled: <br />Garbage ��������� <br />��.k����� ' _��jo[ .���— �1+� �rr.�5�� - ��s# �� <br />�+r�.s-�� #��f.��' �'�47 C��t� �� _ �r���.8 <br />Brush <br />� ��R ��� �� <br />SiC� � �I r�+�� <br />Additional Items sucla �ts appliances <br />(attack additional sl�eet if rtecessary} <br />_f ��_ ~ . r.L�. " __ <br />