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Licenses - Exhibit A <br />City of Orono 11cerseYear-2017-2018 <br />'01WIV <br />I t" Box 66 (2750 Kelley Padmay) DateReceiv4 &--j <br />Xll_.'�� <br />Crystal Day, XN M23 Fee, Paid 4v <br />Initials <br />.4 <br />(952) 249 -,MO <br />N <br />Garbage & Refuse Collector's License Application <br />The und signed wishes to opmte the indicated business in the City of Orono and herewith M8keS4appliC4ttj0nS for a <br />license to do so. <br />Address <br />'4 4�7 15 <br />...... . .. .... )VA -P &I' ­'� � & . ,5 -- <br />Business Phone Number (SAet) (City) (State) (Zip C`Ode) <br />-2k3- 17 f- PT 3 S' <br />Check One: El Individual ElPartnership OCorporation <br />Check All That Apply In Orono: 0 Residential ElConnnemial EIRoll-Off <br />Applicant's Name <br />Address <br />S'.906 <br />Phone Number 12h 9- a -F-3 <br />_Z_ r --7- If 1: r I " 1 52 -101 <br />(city) (state) (Zip code) <br />NOTE: The City of Orono enforce& spring weight restrictions each year, Orono follows the State, typicany <br />restrictions run fi-omMamh 110 -.May 151h each year. Fines wxH be given if veincles are over-axel hmits of 7 <br />tons per axel. Enclosed is a copy of the Orono Resolution establishing seasonal weight restdctions on Orono <br />pubho city sawts and a copy of our current year fee schedule <br />jj esgMmon or -y eju tattam tist ii more) Number of velucles to be used in Orono <br />Year Mfox. Gross wt Front A2Le Wt Rear Axle Wt SizeNards License Wu-m--ber <br />,pa -LL 1A1.r I- juwvo__ MQ"Q 4a*4t_ �L6 X 1'74"? <br />General area of City served: <br />Schedule of Collection charges/ dates: '!1;.4 <br />Approximate number of mtstomers in Orono: /0 <br />Location of dumping area: 4Cp o i?L,*A;t <br />IN ORDER FOR THIS APPIACATION TO BE ]PROCESSED, YOU MUST ENCLOS-Z THE <br />FOLLOWING: <br />Application must be filled out in its entirety <br />Surety bond in the amount of S 1,000 <br />Proof of insurance in the amount of $100,000 - $300,000 $50,000 and 10-daycanceUation clause <br />Annual fee is a $75.00 flat rate fee, IDIUS $15.00 per Mick <br />� and a $30.00 transfer fee (if applicable) <br />I am the owner and operator of the above business and I have paid all. license fees and taxes required by law. I have <br />verified that the above fixrormation is correct <br />Apphomt Signa Dite <br />FOVCrrY USE ONLY: After review of application, staff recommends: <br />Approval ElDenial Eloffier specify) <br />Signature of City Official <br />