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jo;� <br />Finance Department, License Division <br />2660 Civic Ce��ter Drive, Raseville, MN 55113 <br />(65i) 792-7036 <br />Solid Waste Hauler License App�ication <br />� <br />inrn �� <br />Fee Due: ��iS.fl� Ycar Oi� _{Liccnsc �i�ill bc for J�n��ary I io Decc�nber 31.) <br />Biisincss Namc 1�er����•� �_ <br />E3usiilCSS Ad[�l"CSS 30 % C�d /1�y0 �VG ,.57� wu�. ��j/�n. S.S1 ��i� <br />If completed iicense siiouid be mailed some�+r��c��c other than ahc business address, Please advise. <br />B�isincss Phone c�.� f � ��7 ` � � -! �a <br />Contact Pcrsan .__- � Cti � � E�0 '� � <br />(Busit�css Mattcrs) <br />�maii Address � <br />CC)Il[�1C[ PCI"5011 � +L�"L� � <br />(O��cr•r.tioi��l Mattcrs) <br />Email Address �``-''�`� . <br />Trnc��cncy Cacitact ic�fi�rmation �A n <br />C'Ol7��lCl �ri3111C: ��'La �%'C+ {JLI.�htlC4(� i <br />CC�� PI1017C: <br />Altcrnate Contact [nformation: <br />[�i tlie cvent that, ���l7ile operatin� in Roseville, a co�iection vchicle Icaks or s�ills eitlter vchicle f7uids or f]uids or debris <br />f�rom matcriai collectecl the cc�mpany must contacl the City ���ithin ot�e busii�ess day «�itl� informatiotr regarding tlte ma[crial <br />2nvol��ed, il�c amo�ml o! matcriai invoi�•ed an�l thc stcps takcn by t13c con��any to miiig�te at�d remediate da�nagc. Tltis <br />co��tact does not absolvc tEie company from liability. <br />The Ciry exp�cis t�iat in the case of a r�atura� or man-made disaster or a p�►blic ��ealth crisis your company will be able to <br />coiztinuc service. Your com��any should plan for conti�itiity of oper�tions ihrougl� an eme�-�e�icy operations plan. Does your <br />com�3aizy havc �n cmcrgcncy apct��tions pla�i? --- Yes No <br />Your co3npany must notify the City ���hcn you activate your emer�ency aperations plan, and infornz the City of relevant <br />infonnation regarding �rovision of callection scn�ice undcr the ��lan. <br />Solic� �vaste collectio�l will bc pra��icjcd to (chcck all t��at aE��r]y}; <br />! <br />� Reside�itial (si�igle fa�Tiil�y, duplcx; ll-iplcx, fourpler) <br />✓ Multiplc Residecitial (apartment, condomini�;m, mai�ufact��-ctl homc. p�irk, �SI7C� f.OWt]}lDiJSC} <br />! Commercial/Inc�ustrial <br />ti umhcr of vchicics tl�e applicant pro��oses Co use in tl�c collcction of solid «�astc � <br />(ovcr) <br />