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�� <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, MN 55113 <br />(651)792-7032 <br />Solid Waste Hauler License Application <br />Fee Due: $i2S.�� Year ����Licc�sa will be for January 1 to December 31.) <br />Business Name ����__ J DISPOSAL ��� ��� � �� <br />Business Address � 1 , '��. �� ��/^�rl� �� �� ��� <br />Contact Person . � � �_ . . ������ �_�!�{ ��_ <br />Business Phone _� � � �� y�� �� _ _ <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 />� Residential (single family, duplex, triplex, fourplex) <br />Multiple Residential (apartment, condominium, manufactured home park, and townhouse) <br />/� �'�timn��rt�ial�lr.::u4i�ial <br />Number of vehicles the applicant proposes to use in the collection of solid waste � <br />Name and address of disposal or recycling facilities to which waste will be hauled: <br />Garbage Yard Waste <br />- _�-_ �'ame <br />� �� � � �{�� <br />� rar�s� <br />� ��� � <br />� / F� /, � � . . ��� + <br />i�C- <br />Additionallte►ns such as appliances <br />(attach additional sheet if necessary) <br />' .��� �� � ���� � <br />r J � r f � �' <br />