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���1� � � � <br />�� � � � � <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, NI�I 55113 <br />[�� i � ���-�'�1,�� <br />Recycling Hauler License Application <br />t -•, ,. , f. <br />J• �•�• � Flli•: 3 � r?.IfU �Y}L' 3; � I�, I: L_ _ .I.ILi:I"�L' •-t I�;71• I�.i� ��:��.hl } i I'� Vti _il �i �i•: I I , <br />}J ��Ci 11G5�. �j��11C �`�f–` fi Y � �f M1 J � 4-� }� _ — – <br />� <br />� ����- f l ` � �„ � �� f ��1 ��� _���,"�I . � � _� � � � <br />!i�s; �'.�r�s�� - - <br />� � <br />J Girsri3�5i P'fFO�e �� � t��—� - '� — --�--.— �• �� � <br />I'nr,••�_y Ytrwou �� r {: �,� �,^�� ��+t i fy�i :.�y(? .v � � f:-u a� I }�LJr=•r.5 _ _ _ _ � _ _ _ _ _ -- _ - - - - - - - - <br />Ifti•�iu��Tr.hed license should be mailed somewhere other than t��e business address, please attach separate sheet. <br />Recycling services will be provided to (check all that apply): <br />_;{__Residential �Y Commercial '� Mu�tifami�y �� � Tndustrial <br />Number of vehicles the applicant proposes to use in the collection of recyc]ables�,_ __ r �._ <br />Name and address of companies or materials recovery facility whererecyclables will be delivered: <br />Newsprint* Gloss�" Cans/Plastic* <br />F - <br />1_, r / .. p <br />�_irf r�"�_L._� I L_� 1.- �' j€r /���: ,� I (X �� �: � /�f <br />x �•=• � - � <br />� }'3 <br />. � - f f.� �'�.• � �_x�. .'�-•'� -- ��� �-� l' — <br />- - r <br />Office paper/Boxboard * <br />� � <br />r . � <br />�� �'_��.�.- �� ' �'~�'r- - �' ?— — - - <br />, .---� � +r 1��� <br />*Required items for residential and multifamily haulers <br />Cnr-rugated Cardboard�` <br />---- {- + �-- <br />� i ��� � - � � �' �Y .f��ir.��; <br />�- <br />Other{please:;r,A�r._n•] <br />I have been provided with a copy of the City of Roseville Curbside Recycling Ordinance and understand thaf violation of any of the <br />JfL'L"_sic�ri included in the ordinance may result in suspension or revocation of the license. <br />1�a�� attached a LL �i �: _�a� of liability u�,v�rm�.; ��������-'= irr��.;:,:ar�; '�'w;:�;: G�r�r�=�-rli+y�- coverage, and the fee of $125.00. <br />' � � {.-tiy � � _ ._ <br />+ � � f r� , �� '� r i � � J�f�� C..z,'���1 F�� � ' �k� � <br />r� � • � _ — - ? _ � � �- �• �� �.=-s� ;-: - . . �. �. � - <br />Date Applicant's Signature •� Titie <br />