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City of Orono RECEIVED License Year 2017-2018 <br />Box 66 (2750 Kelley Parkway) Date Receivel 517yr) (Mj�� <br />Crystal Bay, MEN 55323 MAY 2.5 2017 Fee Paid'VZL7Initials _AtL_ <br />(952) 249-4600 <br />S H Garbage & RefuSdjfp8pq*6rqbicense Application <br />The undersigned wishes to operate the indicated business in the City of Orono and herewith makes applications for a <br />license to do so, <br />(Street) (City) (State) (Zip code) <br />Business Phone Number 3-oo 4AS qao I <br />Check One: El Individual E]Partnership '[gCorporation <br />Check All That Apply In Orono: T9 Residential Wommercial -QRoll-Off <br />Applicant's Name 1�cic� btyvv-le' <br />Address <br />(Street) (City) (State) (Zip code) <br />Phone Number 33n �A RS lLuu I Email A6hn Y)e Q_\, u3-r�, (h <br />NOTE: The City of Orono enforces spring weight restrictions each year. Orono follows the.State, typically <br />restrictions run from March V —May 15' each year. Fmes will be given if vehicles are over axel limits of 7 <br />tons per axel. Enclosed is a copy of the Orono Resolution establishing seasonal weight restrictions on Orono <br />public city streets and a copy of our current year fee schedule. <br />DesUi�pfion of Vehicles (attach list if more) <br />Number of vehicles to be used in <br />Orono <br />Year <br />MfRr. Gross wt. Front Axle Wt. <br />Rear Axle Wt. Size/Yards <br />License Number <br />,a_C0 <br />MCK—an !A 2)"von i ci noo <br />Llo-D -1)(p <br />Nbcri io3 <br />am'_k <br />4kvbo ags;)cj S A 'f cy <br />Q0 a <br />\�bLq 55_S <br />mc. ( Y, a SALA __3-1 oa Q <br />I L( 01 <br />N J� ye, &,4 q_9 <br />General area of City served: <br />Schedule of Collection charges/ dates: <br />Approximate number of customers in Orono: <br />Location of dumping area: "_-1) f U r P �N N_ ffic I 0� e_ f Ok te I ra MftN 'S I ckt(dr) <br />IN ORDER FOR THIS APPLICATION TO BE MOCESSED, 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 S 100,000 - $300,000 - $50,000 and I 0 -day cancellation clause <br />* Annual fee is a $75.00 flat rate fee, plus $15.00 per truck, 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 />'fied that th bov in tion is correct. <br />ture <br />qApp icant i C Date <br />%0 SE ONLY: After review of application, staff recommends: <br />Ref� Y U —]Denial <br />Approval 00ther (specify) Lx&'"'o eq�' <br />Signature of City Official <br />