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+4�� � � � <br />� <br />, �,,�.,� �_ � � <br />Finance Department, �,icense l�iVl�i�n <br />2660 Civic Center Drive, Roseville, i"ViN 55113 <br />(651) 792-7034 <br />Solid �'aste Hauler License Application <br />r'�: �yle: $125.�� :��':�'.li��''='�� (License will be far January [ to December 3 r•} <br />Business Name .�� �� r_� f ti��_ � <br />, _�.-. <br />Business Address _ -_� �' � _ �� • _ ° -' � _� _. _,_ . <br />.4 <br />Business Phone � � . ��•t� L�t �--.� � �� '� � -� �� � r'. <br />f I ,i � ;'ll_ �' 1_� r'�., r f_ r} _�f' i.. f•,-� :- } �_ fj ' r5}, f1 <br />•,u'.i :_ � �:•f. II . , . f , �.- ' _ <br />Email Address <br />�. �j`% _ . �...�. � ��� r �_. <br />lrcar�F��lc����i license �b���l� �e mailed somewhere other than the business address, please ad�ise. <br />Solid waste collection will be provided to (check all that apply): <br />__,_ Residential (single family, duplex, triplex, =��_,�=�'� J <br />�� Multiple Residential (apartment, condominium, manufactured home park, and townhouse) <br />�� Gommercialllndustrial <br />�•�iy, i�T ,�� ', =1: it r;: the applicant proposes to use in the collection of sa��� wasfe <br />�G <br />u1' disposal or rec clin facilities to which waste w'��� be �auled: <br />�OTC 8 � $���C :w Y �' <br />G'�r f�a,gr i'ar.i � ��rr <br />��+�� r� .�' -�};d` � _ �V �'�M1 r'� ����� ->. d.'.C��r �i � <br />� y �,_ _ �: • •� . <br />�'�r � �r..���`r���' .��''. �_ t�- � _— ��... � i'��.- —,_ <br />rb:�} — - •• • <br />� ! r :�r� r �� �f. � .�. ^ — -- �— - <br />Brush <br />, ��• L '' ' l �L" k: �� �. <br />- -- �-�-=� ��=�� -- <br />` � " ��� � � �_. <br />--,. ��. <br />,4dditionaC.ltems such as appliances <br />(attach additional sheet �f neeessary) <br />- , -- -- _ �r. � - - - - - ., . � <br />��r ����.r_����.�r���,�-_ _.�f_� ���..��� _ <br />