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City of Orono Hcense Year 2017-2018 <br />Box 66 (2750 Kelley Padcway) Date Received 4.) —10 <br />e�E Initials "'J <br />Crystal Bay, MN 55323 Fee Paid <br />00 (952) 249-4600 <br />0 Garbage & Refuse Collector's License Application <br />The undersigned wishes to operate the indicated busimss in the City of Orono and herewith makes applications fcw a <br />license to do so. <br />Business)Filra_&M.J,�, 6L,0 _(�" 14A"Ara <br />Address ?_ <br />_,Z.?ao eo e -2 j�, <br />I e <br />(Street) <br />Business Phone Number 463—q"-2":? <br />(State) — (Zip code) <br />Check One: El In&vidual 19rPartnership [jCorporation <br />Check All That Apply In Orono- Ll Residential I]Connnercial EjRoll-Off <br />Applicanfs Name r7l��O—,e_A A <br />-,7& x7?_/U_ _ 1 1 4 � =31 <br />(Street) (City) (State) (Zip code) <br />Pbo= Number Email <br />NOTE The City of Orono enforces spring weight restrictiow each year. Orono follows the State typically <br />restidotions run from Much V—May 151 each year. Fnies will be given if vehicles are over axel limits of 7 <br />tons per nel. Eaclosed is a copy of the Orono Resolution establishing seasonal weight restrictions on Orono <br />public. city stirmts and a copy of our current year fee schedule. <br />Desm-iption of Vehicles (attach list if more) Number of vehicles to be used in Orono <br />Year M&S. Gross wt. Front Axle Wt Rear Axle Wt. Size;(Y@Z� License Number <br />16 4�;2e Mz6 <br />V3P_Trz3 <br />Gm=al area of City saved: <br />Schedule of Collection charges/ dates - <br />Approximate number of customers in Orono: <br />Location of dumping area: it <br />IN ORDER FOR THIS APPLICATION TO BE PROCESSED, YOU MUST ENCLOSE THE <br />FOLLOWING: <br />Application must be filled out in its entirety <br />Surety bond in the amount of $ 1,000 <br />Proof of insurance in the amount of $100,000 - $300,000 - $50,000 and I 0 -day canceRation clause <br />Amnual fee is a $75.00 flat rate fee, 1plus $15,00 per truc and a $30.00 traimsfer 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 thatAe above information is correct. <br />!F� — ( -4- <br />Date <br />USE ONLY: After review of application, staff recommends-, <br />rITY <br />Appnval E]Denial lloffier_(spocify) <br />Signature of City Official Q <br />