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�'� " <br />City of Roseville <br />Finance Department, License Division <br />2660 Civic Center Drive, Roseville, E.�VIN �5113 <br />(612) 490-2212 <br />Recycling Contractor License Application <br />Fee Due: S12S.00 Year�/t,_�r �(License «�il) be for JZnu�r�� I to Dec�mber 3 I. � <br />f3usiness Name _ � h � �+.� . -�-�.�..�.� ,r- /v� c.� � ,' �..___ S �� •F� C_�,.., _ _�L-.�^ c <br />_ , , <br />Business Address �;3 / S�' (.cJ : �c� � � ---.___.____._____._.�....._...._._. ._..._.. _ <br />v� f- �a..�..._ I /h � ��� �1��_--.------_..____._..._�.__..___._..___. <br />Contact Person ��_.� � .r.,� � ,. � w �; � Business Phone S / -��!S �-____� _� �' � <br />If completed license should be mailed somewhere other than t e business address, please adti�ise. <br />Recycling services will be provided to (check all that apply): <br />Residential Com ercial <br />Multifamil�� T Indus'rial <br />. �.._._._. � � <br />Number of vehicles the applicant proposes to use in the collection ot�rec}'elables ��_ ,M <br />Name and address of companies where rec�clatiles will be marketed: <br />,tiexsp�•i�7I Gfuss � C'u��.�• <br />������ii�az.��i.-a �r�ar <br />I f <br />Plustic C�urrt��utc�cl C'cu•�Ihuurcl Url�ri• �plc•us�� .�p�•��fJi i <br />I have been provided with a copy of the City of Roseville Curbside Recycling Ordinance (available at <br />���rti�v.ci.roseville.mn.us/admin/citycode/ch403.t�t) and understand that violation of any of the provisions <br />included in the ordinance may result in suspension or revocation of the license. <br />I have attached a certificate of liability insurance. a certificate indicating Work r C rnpensaticn co��era��e. <br />and the fee of $125. 00. <br />,�-L... <br />� Appficant's Signature <br />..w..._ L,�., l%� `_E' - 51� �'i. T ......._ _ _., . . . . <br />Title , <br />�/ - ���— ------ -.,..�._. <br />Date <br />