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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�,rl �('i � (License will be for January 1 to December 31,) <br />� r • �f � <br />TiG51�1�55�1f•lC ���l n L.�•� }��.�.�r � F,�,� t=.�i�r�ry :� �rk-r�i��ri i..tr �+�t,,�a e iti <br />i4usincss �1c!{I�s� � � ' 6r� �} }� <br />•�+ � �.� � _� x � �� � �' � <br />� -- — <br />f' <br />�'�:�ii•�;s Pti�� u�n _ � 4:—��_r .�. �:� — BUSir.�s� Fhar- , .� +� . �.� � � �— �'. ir <br />If completed license should be mailed somewhere other than the business address, please attach separate sheet. <br />� .£ _� ti� �r r 1 '�,�. � � S � �r� �� �-�F � 4� ��.� <br />Recycling services will be provided to (check all that apply): � _ <br />� ��� ��? � �;�,1'�_ tf c��.�_��-�-��r� �;�,t.,���. <br />Residential Commercial Multifamily Industrial <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 recyclables will be delivered: <br />!:{��.F•��r��u; + <br />�'iass * <br />_ �'a�i�lT',��{!c+ <br />� <br />���a �e..h�� �.rk� _ �,:i` . <br />f� ,�. _ �fl,r' . __ . . — '� � f �iw� /l� !�. � <br />I :�-���'� ��{ � X`' ��r-�t. �. �� <br />Office paperlBoxboard* <br />Corrugated Cardboard* <br />� <br />���� - <br />� <br />*Required items for residential and multifamily haulers <br />Other(please specify) <br />I have been provided with a copy of the Ciry 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 certi ate indicating Work r Compensation coverage, and the fee of $125.00. <br />} J - . J .� �?,� � "� � r••� �r�.] ����4�£ <br />�]�r� l�itl,� <br />