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��� <br />���a.. J _ —____1 / 1 <br />Finance Department, License Division <br />26b0 Civic Center Drive, Roseville, MN 55113 <br />(651) 792-7036 <br />Solid Waste Hauler License Application <br />Fee Due: $125.00 <br />Business Nacne <br />Year t%U � o (License will be foi January I to Deccmber 31.} <br />� <br />B�f���,��� nad����5 �l� f�� 15a �D U6U � <br />I1�compicicd liccntic should bc i�iailed somewhcre otl�cr tha�n thc busincss addtcss, plcase advise. <br />Business Plzone -----.-�1 � ...__ O(�� ���.� - <br />Contact Pcrson L. 1�j � Q� �� 1i `L,,' <br />(E3usiitcss MatScrs) <br />-�-�1 � i <br />Em��il Address . �fl� f s (S �t� ` � t i4t 1 L'L.� 1�� <br />Contact Person � I J�" �' � �: �I�i � �� � ! � f��}�� <br />(Ope�atio�tal Matlers) �J <br />Enzail Address <br />Emcrgciicy Contact lnforntation <br />CantactNamc; ��' {i�. � <br />c�u >>i,��,�: <br />t �fl � i <br />_ . � - - <br />Alter�lzite Coniact ]nformalion: <br />— . <br />In thc eves�t tlsat, �vl�i]c operating in Roseville, a collection v V' e lcaks or spills eitiie3� veliicle fluids or fluids or debris <br />fi•o�n material collectcd iltie contEza�ly must co�itact tlie City witl�ii� one business day �i�itl� informatt�on regarding the mat-eriaf <br />iti��ol��cd, the aiziount of maierial involved and tl�e steps takcn by thc company to mitigate and remediatc danzabc. This <br />coiztact docs ��ot absolvc lhc compaiZy fro�ii liability. <br />Thc City cxpecis that in thc case of a natural or Et�a.n-madc disastcr or a public hcalth crisis your company will be able to <br />continue service. Yow� com�a��y shoulcl pla�l for conrin�tily of oper�tio�ZS tlirougli a�t c�tierge�icy operatio�is plan. Does youi� <br />coinpany ]tave a1i c�t�crgcncy operations plan'? �Ycs I��o <br />Your company must iiotif'y tlie City when you activate yozit- emei�be�lcy operations plan, and infarm ihe City of relevant <br />information regarding provision of collcction scrvicc undcr thc plai�. <br />Solid �vastc collectioti wili bc �i-ovided io (chcck all that ��pply): <br />�Residentia] (singl�c Camily, dupicx, triplex, fburplcx) <br />�Mliltiple Resideutia] (aPartmcnt, co�id«mii�iu�n, m�u�ufactured I�ome park, and townliotise) <br />�Com��lcrcial/Industrial <br />Number of vchicles tl�e applicant proposcs to use in the coilection of solid wastc <br />(over) <br />