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2004_1108_Packet
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2004_1108_Packet
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� <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651) 490-2212 <br />Recycling Hauler License Application <br />Fee Due: $125.00 Year .�� �� (License will be for January 1 to December 31.) <br />� <br />��asin�ss !�arn� i�' � � ��. ,� � � � �� ���� � i � r � ka � . <br />Business Address . ...� �' �� �� � � <br />� <br />�� �� <br />Contact Person � �Y� � �ti c Business Phone � � � � � ��'7 � �'�'� � <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 all that apply): <br />Residential � Commercial Multifamily Industriat <br />Number of vehicles the applicantproposes to use in the collection of recyclables � <br />Name and address of companies or materials recovery facility where recyclables will be delivered: <br />Newsprint* <br />Glass * <br />Cans/Plastic* <br />" �, . <br />- � � ��� f �' ' ���-�'4��� � �' - ��—�_x�-- -� � � ��t'�+� �'• �, �, �� <br />-- -- - �`� ��`� I �. .�'��� _ <br />Office paperlBoxboard* Corrugated Cardboard* <br />� #�r� �� - ��+ .,�,'�'�'' I �a c-�. � � � � '� , �� �.� <br />*Required items for residential and multifamily haulers <br />Other-(pleasespec�) <br />I have been provided with a copy of the City of Roseville Curbside 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 />I have attached a certificate of liability insurance, a certificate indicating Worker Compensation coverage, and the fee of $125.00. <br />{ � � ,- <br />f 11 "��� ' S� � � �''�'-1r '4�i��'�'�I� t_ �f� t� ti� Y�� <br />� L�akt AppLicerit'a ��grsat� �i�l� � ' � <br />a <br />
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