Laserfiche WebLink
�� � � <br />��� <br />City of koseville <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 ���� �� (License will be for 7anuary I to December 31.� <br />� T• <br />f3Yikl.*.t.Ss � ern2 �_ � i �� - ` • � ��: ��. �� {�. � �.r �� {� �. � � �� t t� F �.. —•-- <br />�L ' <br />Business Address .� / ' f �c_J � . r- � �` „ � � :x� �r <br />,� r� . `:� .� 1 �� � <br />�� I151 �ti.iS ��1i71:L �i�' � ��� � .~ � � .� � <br />Contact Person � ���'��, � �� � �� � „�s � Ertiait Address <br />If completed license should be mailed somewhere other than the business address, please atfact� separate sheet. <br />,.�} € <br />Recycling services will be provided to (check all that apply): (J"� �,'�� �L,� 1�z. � �'� �' <br />.S f �.e' Z r=. <br />R e s i d e n t i a 1 Gonimercia] Multifami Iy� indus[ria� �,.:• ._ ��� <br />Number of vehicles the applicant proposes to use in the collection ofrecyclables �� <br />Name and address of companies or materials recovery facility where recyclables will be delivered: <br />Newsprint* <br />Of�ce paper/Boxboard * <br />� k- -� c� �r��.� � � �` <br />f��u � 1 �. . +2.�.-{_' +M1 � J� <br />S <br />� �Z�G.� f : a��'1i 7� {� �� <br />�� '-'�s <br />Glass * Caras/1'Castic * <br />�1- % `2'r'� ��� �"- - �n �ri.f <br />� � � ��� � - C����, r� � f <br />.,,: r �' - f "- _ f�, �} <br />—•--•— —••— — Ss f- r�t� .z �r =i�' � - • � <br />Corrugated Cardboard* <br />*Required items for residential and mult�family haulers <br />Qther{pl�ase spec�} <br />Z have been provided with a copy of the City of Roseville Cur€�side Recycling Ordinance and understand that violation of any of the <br />provisions included in the ordinance may result in suspension or revocation of the license. <br />r ,� <br />1 have attached a certificate of liability I�i.,lir8��_� ��ci liPt a:C Il�pit2l� r� �`[�kk�:�i +C.isa;ir.� c.i ves:,��•, and the fee of $125.00. <br />�T � A�/ '-C°+° {.� � .B� ' ' ' �� +�I � }' . •;��,.-� � r � � ( �.J G�� <br />Date �*•"�"*��"�"""� � Title <br />��.._e.,�sQ'�...... <br />