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��� � -- <br />4 <br />��� �_ _ � . . 1 � � <br />City of Roseville <br />Finance Departrnent, License Division <br />2660 Civic Center Drive, Roseville, MN SSll3 <br />(651) 792-7034 <br />Recycling Hauler License Application <br />i' L'C dli 'L' �jiJr_Q� �'.'�� _' �y�1� � �� 1�='iI:�L" Vi':I I-�'•T : JI �L='TF I L:.' L}=LTI'I ULT � I ! -- <br />^ ��J f <br />BusinessName �� � •��������� Y��� ����� _ <br />.�� 'T� <br />}-% fF �� �' � I-.I .�.- — <br />� �J ti! 1'r' iti J�� I�.���.5'i ��f� � � �L' T� Y�� __. -- L+ i+�!f Z • �� ����{ �' ���` �� <br />�• � � �� <br />Business Phone �� � �� — ��: t�� <br />,l � <br />Contact Person '���� ��f���' ;�. �mailAddress <br />�• <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 ail that apply): <br />_— _.Residential ��� I:� ��.•,r �t: _i I },: �: i i I_�i �� I s Industrial <br />Number of vehicles the applicant proposes to use in the collection of recyclables <br />Name and address of companies or materials recovery facility where recyclables will be delivered: <br />, <br />�3�' � w �r�'I F,J' � r� f: ��.L'? r•�� � � �. i� r�::�� ��r:Sl: i- � — <br />.. �� �� �:� .����..._ _�'-���'��. �;, �r <br />. <br />� <br />. <br />��� �:.. . ����� .�� -� � - - -�_.. _L� _ _. . _ . . . .. _ <br />, <br />�... . �.�. - ,����_ - - -- <br />f��'ice Ui�p[ri'8�x�"�'� ` <br />��. �� �_�� <br />� OIFl��il� �dF��a7F�* �f .1�7�h�1��{�5C f�rCi��� <br />����� �!� �'�� — -- — <br />*Required items %r residential and multifamily haulers <br />I have been provided with a copy of the City of RoSeville Curbsrde Recycling Ordinance and understand tf�at violation of any afthe <br />provisions included in the ardinance may result in suspension or revocation oftt�,�ficense. <br />I 1.74� ,�� �-,..I:L;I _ ��; .:C,Ues� t� � I;�bi f:� }• ��� IIS {, •� VL'I � I; i�c ':i:l:.:�:i'i � ti'r r�r�C::� Compensation coverage, and the fee af $l2S.Ofl� <br />�f � � f� f� r f•/' i r <br />� • � r:� � �' .f � ��� ��' <br />._ . `,�`��� • ' - - <br />, Date i ,��j�li=ar7'a gualvr� Title <br />' [� 7 <br />