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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 />Fe� �uc; S! ��,ta� '7' e.� r ���' � �:I .�L_�r��t �,t�:l I I}� f�i J�n�g_ � J i� a��e��rr 3 I.1 <br />ESUSir,ess Narrh �� {`, � t� �,��' �.� 4,�t`.r ���,� .� '�l�i --- <br />li�is�nrs� ,��.'.d r�ss � �j �3 � �.f •€� �. ��•f ��f r� �� � l, , , , <br />��11`�'�k'-�ti ��� I �� � � �+i� •-•-- - <br />� ���� <br />�:ti: �n; �� I��_ <tir_� . ���� � S �ti-� #�.. .. . . I3�siness ]sh;xr� �� ' t� � �' � <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 Industrial <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 />. ��'�'�,'�,��':nt � <br />�- <br />� 7 �;5'.��:� �. ��tr�� �, I � <br />tii�$.S * �'r��5��rrSiit�* <br />�� � .� ��� _ <br />�, 4 . <br />�� <br />� �ee paper/Boxboar�d* Corrugated Cardboard* <br />�� � ��.�- � � —��'��•�� �.� �-__�'c��Pe � <br />� � _ � <br />� y "''' ' <br />*Required items for residential and multifamily haulers <br />Other(please specify) <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 Warker Compensation coverage, and the fee of $125.00. <br />-��t�� --- .�� ����fct;.� '�C��tL�r•< <br />Date Applicant's Signature Title <br />