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. 1 .�. .. <br />. ���� . <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.� Y� �9_���,�;� �ri?I la� �Ur ��7L'e�r� t Lv 1}C�]i�' � I.] — <br />Business Name y �� �. _ _,� f ���. � � � ],� i � _�__�r. ��_ _ . _ <br />Business Address _ _��.�� ��� � � r,�'��__ . � L� �� � ��! � �� <br />Business Phone st✓_ �. . <br />� <br />Contact Person <br />If completed license should be mailed somewhere other than the business address, please attach separate sheet. <br />Recycling services will be provided to (cheG�� all that ap�ly); <br />�Resides�tia� �Conamercial�Multifamily� Industrial <br />Number of vehicles the applicant proposes to use in the collection of recyclables <br />Name and address of compatai�s or materials recovery facility where recyclabies will be delivered: <br />Newsprint* Gla�'s* �: �R�'�da�rne* <br />���� .��� . �� �� � �� � � r �� <br />Q�ce paper/Box6oard* Corrzrgated Cardboard* 41har(,�lease spec�} <br />� ���� �� � �--- ��� _��� <br />*Required items for residential and multifamily haulers <br />I have been provided with a oopy of the City of Roseville Cu�ei�side Recycling Ordinance and understand that violation of any of the <br />provisions included in the ordinance may resukt in suspension or revocationo�'the license. <br />I have attached a certificate of liability insurance, a "'e Ir�r:lc,t�'-n� Xk'r�r' fi�n :�verage, and the fee of $125.00. <br />� —� � _���� <br />Date � : 'e .�« �"xtZe <br />