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��� <br />���� <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 />F'i�t I�u�: S I�5,�0 Year __ �� ��,. { Licxnse wi I. � fa� Janusr� I ta Deeernber 3 L.� <br />Busincss Narn� ��� L � �.� ,� � ! � � � � � � � � �. � — --- <br />���. ��� � � � <br />������g ������ � �� �� � � � <br />�. �,���� <br />t.'{;-��,�c:r I'erSrn � �°_� �� �� ��+���� B�.�s�ness Fhane e�+�� � �0` �+��5�` � � e���� ' ���--��� <br />� <br />l� 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 � * lndustrial <br />� <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 reeyclables will be delivered: <br />Newsprint* <br />Glass * <br />Cans/Plastic* <br />�-.��T f • F F �� <br />. � � � • ��� LJ ��� � ��� �� <br />Office paper/Boxboard * <br />�,�. .__� -. <br />Corrugated Cardboard* <br />�-- + <br />� � � � �� <br />*Required items for residential and multifamily haulers <br />Othei•(please spec�) <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! r�,r= :�tr.,4hc�'_ ,� ���i fi�;�ie o f I i�bi I i"-w iassi�.inc.e, a�rtific.ie in icasi n� ' k �'�r��ns:a�iOb ��',+^Cra�e� ai d i�c fee ��F $12.S.f}�, <br />�� �� � #� � �� �� <br />�a A lseant's 5i a G - --7i11 �- <br />� � <br />