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f) City Of Orono License Year 2017-2018 <br />Box 66 (2750 Kelley Parkway) Date Receind <br />Crystal Bay, MN 55323 Fee Paid �V initi= <br />M2) 249-4600 <br />40 <br />Garbage & Refuse CoRector's License A&Iication <br />The unders'gned wishes to Operate the kdkatcd bminOss 'n the City Of 0=0 und herewith makes 4VIjeations, for a <br />license to do so. <br />Business/Fir"6&�d S4,1v4-,4-,oAj <br />A4dress DFA- <br />-1 <br />AALr — <br />Business Phone Number (Street) (City) (state) (Zip code) <br />74-3 '%ZZ 7-33�- <br />Cbeck One: El Wividuai Elpartnership 9borporation <br />Cbeck All That Apply In Orono: �ZResidential $atommercial pul-Off <br />Applicant% Name 1-4�tvzi�L <br />Address <br />A,-, 5 <br />(Street) pt�) (state) (zip code) <br />Phone Number <br />"_ <br />NOTIE: The C11yof Orono enforces spring wel&resuicitions each yew, Orono follows the %te,typicaUy <br />restktions run fi-orn March V'- May 15d' each year. Fines will be given ifvolucles are over axel limits of 7 <br />tons per axel. Enclosed is a copy of the Orono Resolution establishing seasonaI wcigW restrictions an Orono <br />public city strzets and a copy of our current year fee schedule. <br />LIRVIIJIUU11 UL V VH19;105 kaUHQn 11SE LY MOM) Number ot VeMleS to be used in Orono <br />Yew Mf <br />ff. Gross wL Front Axle Wt. Rear Axle Wt. akx[Yards LicenseNumb <br />General area of City served: - -e,' ' <br />,4,; <br />Schedule of Collection cLtarges/ dates, re- -�'j d, j-, <br />HAW- <br />ApProximate number of customers in Orono: <br />Location of dumping area- <br />-7�'' <br />IN ORDER FOR TMS 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 $ 1 00,DDO - $300,D00 - $50,000 and I 0 -day cancellation clause <br />Annual fim is a $75.00, flat rate fbe, plus $15.00 per and a $30.00 transfer fee (if applicable) <br />I am the ow= and operator of the above business and I have paid all license fees and tnes required by law. j have <br />verified that the above information is correct. <br />5:,--Af�licant Signature bate <br />SE ONLY: After review of application, staff reconmnends: <br />=Valu []Denial []Other <br />—(Specify) <br />Signature of City Official <br />