Laserfiche WebLink
��� <br />Finance Department, Licer�se Division <br />2b6Q Civic Center Drive, Roseville, MN SS113 <br />(651) 792-7036 <br />Soiid Waste Hauler License Appli�ation <br />Fee Due: $l ZS.�� Ycar o�D� O (Liccnse will bc for January 1 to llccember 31.) <br />8usincss Namc <br />�-�..-rn ��QLnr�,...�_..1�._�?_S}� � u! _C_e.., I � C., :.. <br />B��siiless Address � r7-�y }}L{.,�Q �I.Q�Yi �/�-Q _ _.�1�•�7 � �G1,��,C_ 1 }'�.v� �1 � � <br />ffcc�iripfcted lice�tse should be �tiailed soi��ewhere other than ihe business address, plcasc advise. <br />Business Phoiic �� � ' `7 ��' �J�� <br />Co�itact Pcrsan 1 r L(,l�(� jL-�iLSGl.�1�,,. . Ui'L <br />(E3usii�ess Mattci-s) <br />�:mail Address <br />Contact Pcrso¢� ��iG�.C� �G�$ L.�,..� D� <br />(Opera(ionai Matiers} _ <br />�mail Address , . _ • -�� .f •.�� <br />En�crgcncy Contact Ii�forsnalion <br />Coiitact I�amc: Y�..(1�'LZ �}��Y� 1 <br />�e�} Pltotie: <br />� <br />A1[ernatc Contact [nfor�nation: <br />]n the event t��at, ���i�ile operating in Roseville, a co]]ectio�Y vcl�icle ]caks or spills cither vehicle fluids or #]uids or de6ris <br />f�ram ma€eria] collected tlle conipany must contact tlie City ��-ithin oi�e busincss c�ay tvith i��forination regarding ihe material <br />involved, the amount of matcrial involved and thc steps taken by thc company tu initigate and remedidtc damagc. This <br />ca¢�tact docs not absolvc tltc company fiom liability. <br />The City expects t17at ii� tl7e casc af a n�itural or man-made disaster or a public l�ealtl� crisis your compa�iy 4vi1� be able lo <br />continue service. Your company sl�ould ���an for continuity of operations through a�Z emergency o�erations plan. Does yoin� <br />compatiy havc an cmcr�;cncy operatic�ns plan? 'Ycs No � � � ��� �a �l,G �� � G1c�Lt� _ / � <br />� • . <br />�!� �G .�� t,� rcJ C E <br />Your compa�iy i���ist notify the City i��hen you activaie your ciz�ergei�cy o�crations plas�, and inform the City of relevant <br />it�f'ormation regardi�ig provisic�i� of collectiati service uuder rhe �la�i. <br />5olid �vastc collcction �+�ill bc Provided Co (check all tl�at apply): ���, �t5 �] 1 ,� <br />E2esidential sifi ]e Fan�il du ��ex, tri lex, fow� lex � ��� <br />( � Y, } P P ) OYI�r �YI�Q� U �C, (JY� C � <br />Muitiple RcsideriCi�] (a�a.rtmei�t, condo�i�ii�iwn, r��antiFact�ired lio�iic park, a�zd townl7ouse) �"'2�� �"' <br />Co��uncr'cialllnd�ss€riai <br />Number af vchicics the applicant proposcs to use in the collccCion of solid waste <br />{over) <br />