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�5r1� '4 `� <br />��� 4 , <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651) 792-7034 <br />Solid Waste Hauler License Application <br />Fee DUe: �125.�� Year & D o-(License will be for January I to December 31.) <br />Business Name � +� 4�_� �' � +v � �� �.� r t i{ � 1,�� � � �: i ,4��_ <br />Business Address �� �� � ���F ���'!� � �.� -'`� � � � � <br />Business Phone �� � f -� � � � ;�. `� '� °� <br />Contact Person ��V l� r� �• �c �' <br />ErrFail Address <br />If completed license should be mailed somewhere other than the business address, please advise. <br />Solid waste collection will be provided to (check all that apply): <br />�%R�sidr��a] (single family, duplex, triplex, fourplex) <br />_��rl•.ii: �pl: Residential (apartment condominium, manufactw'ed home park, and townhouse) <br />e�✓Comm erci ai/Tndustri al <br />Number of vehicles the applicant proposes ta use in Y1ie collection of solid waste � <br />Name and address of disposal or recycling facilities to which waste will be hauled: <br />�ru�f�a�r �iFrrl G�as�� <br />� �� . �'��-��j� - — _� � � � �� �-� ± "��-- - - <br />I���o��..�.� 5��.��_ <br />&rws'� <br />� # �f'������� <br />r'� � •. � �J4� C�� � �'t+�rt-*�.lt� <br />� � f�,�t�� d' Af -- <br />� <br />Additionalitemss�ck as appliances <br />(attadr addztzoaxafsheetifnecessary) <br />���-' � ��L � � � f�' �* <br />