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���� � <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: $125.00 Year Z�O� (License will be fnr January i to December 31.) <br />Buxi�iti��l�n� Waste Management of Minnesota, Inc. <br />BusinessAddress 1��`�� ��i'I�� �L ��� Blaine MN 55449 <br />BusinessPhone 952-890-1100 <br />ContactPerson Ervin C. Hofstedt EmailAddress <br />If completed license should be mailed somewhere other than the business address, please attach separate sheet. <br />Recycling services will be provided to (check all that apply): <br />1{��':E�i ��.�� ^ �'r•r.:i_t•itia! >� `•lu!li�x:ri 7 � lutih_s'.r:�! <br />Number of vehicles the applicant proposes to use in the collection of recyc�ables 6 <br />Name and address of companies or materials recovery facility where recyclables will be delivered: <br />*e* ��°int * Glass * Cans/Plasfic * <br />All Recycling goes to = Waste Management — Twin Cities MRF <br />1800 Broadway St NE <br />Of, fice�aper/Boxbaard * <br />Minneapolis MN 55413 <br />Corr~ugated Cardboard* Other{please specify} <br />*Required items for residential and multifamily haulers <br />I have been provided with a copy of the City nf Rnseville Curbside Recycling Ordinance and understand that violation of any of Che <br />provisions included in the ordinance may result in suspension or revocation ofihe license. <br />1 have attached a certificate of liability insurane� �-eertificate i' ��is' �- �ik�r C:�� �:�[iti�� �� �rs��., �:�� S�v � tiz' S a li 1Xi.. <br />��f � ' . r.�`� ' �� '���� ���� � � r . <br />_ Date �`+ �4�Fii�eni's �� ""fiCl� � � _ <br />`��, . . _ _ . _ . . - _"� <br />�}� e��� � i �k �� �au r ���+��si �� ��t= <br />�vM'����_��-�7st��r ii;ciiic::.�c�mr� <br />� <br />;,�_. _ - . r.. � <br />