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�v;� <br />.�'�. - --= <br />Finance Department, License Division <br />2G60 Civic Center Drive, Roseville, MN 55113 <br />(G51) 792-7036 <br />SoIid Waste Hauler L�cense Application <br />Fee Due: $125.00 <br />8��5;�,�5� �:���„� <br />Ycar ���� ( Liccilse ��ill be for lanuary l[c� Deccmber 3 I.) <br />� <br />/� <br />c�i� <br />Busincss Address �� � � ' <br />� .� .� �"' � /. __ � l o �� u..l� .� d'��' «r . � �:5".ml ! `� _ <br />[f com�7leted licensc should be mai�cd soi;ic�vEiere ot�icr thai� tlte business adtlress, plcase advise. <br />� <br />B�isincss Phonc �-.5�- ;� � - "�c �s ,� -°� <br />Coi3tact Pcrson �J C. �t ui. �'r.� � `�f�`C-�i �if � � � dri,� `� �' a <br />....._ _......_ <br />(Biisiticss Maiters) <br />� � <br />Ei�zaiI Address <br />Contacr Perso�l <br />(Operational Mattersj <br />�� <br />Eniaii Address . _ <br />E�nergcncy Cantact tnfonnation <br />Coi�tact Namc: <br />Ccll I'llo��e: <br />o � �° �_ � ,.� . b <br />„�s�°'1..,, -- ... <br />Aitcrnate Coi�t�ict Infor�r�aEion: <br />In the event tliat, ���hile o��eratins� in Rosevillc, a collection vel�icle leaks or spills eithcr vehicle fluids ar fluids or debris <br />fro�i� i�iatcrial collcctcd ihc company must contact the City within onc busii�ess day �vi1h information re�ardi�lg the �naterial <br />invol��cd, thc amoui�t of malcria] i�i��olved a�id ihe stcps takcii by thc company �o mitigate and remediate dama�e. This <br />contact docs not absulvc thc co3npany from liability. <br />T'�ie City expects that in tl�e case of a�lattiral or ���an-made disaster or a public health crisis your company will be able to <br />continue ser� ice. Your co3npat�y shouid plan fo�' continuity of operations tl�ro�gh an emergency operations plai�. Daes your <br />cony�any l�avc an cinerbei�cy operatians �lan? �Ycs No <br />Your co�npany must noiify li�e City 4vhen you activatc yo��r cmet�gency operations plat�, a�3d inform ihe City of relcvant <br />information reg�u�diFig }�t-ovisian of collection service undcr the pla�i. <br />Solid ���aste co�lection ���ill be provideci to (check al] tltai apply): <br />� Rcsid.ential {sin�le f�3mily, duplex, tri}�icx, foiu-pfex) <br />� Multi��le Residen[ia] (aparune�li, condaminium, mat�ufacttired ho�3�e park, and to�vnhouse) <br />� Conlmcrciall3i�dustrial <br />NumUcr of vcl7icles the a�,p]scatit propases to use in the collection of solid waste � <br />{over) <br />