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j'� � � <br />Finance Department, License Division <br />2660 Civic Center llrive, Roseville, MN 55113 <br />{6Sl}792-7036 <br />Salid Waste Hauler License Application <br />Fee Due: $� ZS.�Q Ycar t�s C3 (Liccnsc u�il] bc For January 1 Eo Dcccmbcr 3l.) <br />Busincss i�ainc � i E� ��l /�i L' ��= /C ���v i OZ �4a'L� A/; <br />Business Address �� �cr�C � 4��{� �j�w��r{ i M�t.3 „�c�s_S <br />IfcoEnpleted licciise sl7otilci be mailed somrwher� ather than the b�isiticss address, please advise. <br />Busi¢icss Phone (� S/ ' � � � ' � `� 7 °7 <br />Contact i'crson _�R.''i !¢ dr� � J�i v,0�= 1� <br />� .. __ <br />{Busit�css Mattcrs} <br />Email Address /(,��� E <br />Coiitact Persoi� � Aae�I�o a �'1 e.' D� fc <br />(Operation� I Matters) <br />E31�aiI Address <br />Emci�gcncy Contact fn1«rn�ation <br />Contact Naii�c: /�-�s: � Nd�% L' �,�/� <br />Ccll Phone: � <br />Altcrnatc Caniact [nforsnation: <br />In thc cvcnt t€�at, whilc uperating in i2aseville, a colicction vcliic3c Icaks or spills eitll�r vcllicle fluids or fluids or debris <br />fi�orn n�aterial collecTed tlle compaiiy must co�ltact the Ci1y �vithin one busi�less clay �e�itl� iizformatic�n regarding the n�ateria] <br />ii�volved, Tl�e amo�mt of material invol��cd ai�d thc stcps takc�� by tl�e compa��y tc� mitigate and remcdiate damage. This <br />contact docs iiot absalvc thc caEnpa��y f:-om liability. <br />The Ci1y expec[s that in the ctise of a natural or man-inade disaster or a public E�ealtll crisis your company will be able [o <br />co�itii�ue scrvice. Your coinp�ny sl�oulcl pla�z f�r continuity of operations tl�rou�;�i a�� emergency o�eratio�is �lan. Does your <br />compac�y havc an cmcrgcncy oE�cratinns pla�i? ___�Ycs tio <br />Yo�sr conz�a�iy n�ust noti fy �lie City wl�en you activate your c�i�crgcncy operations plai�, and it�for�n tl�e City of relevarrt <br />ii�forniatioi� regai•dii�g provisiou of colicctiou scrvice undcr the pla��. <br />Salid �vastc coliection tvill be E�rovided to (chec�: all tl�aT apply): <br />� Rcsidentia] (singlc Camiiy, duplex, Cri�lcx, fourplcx) <br />� Multiple Resideti�iai (�partment, candotninium; manufacturcd hotne p�trk, a:id townhouse) <br />.,,.,,_�(__ Comnzcrcial/industrial <br />I�lu���bc�- af vchicics thc a����iicai�t proposcs to usc in thc collcction af solid wastc ,� <br />(over) <br />