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I <br />{q'�FSWU�`W <br />City of Orono <br />Box 66 (2750 Kelley Parkway) <br />Crystal Bay, MN 55323 <br />(952)249-4600 <br />License Year _ 2017-2018 <br />Date Received JS- r 1: <br />Fee Paid Initials <br />Garbage & Refuse Collector's License 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 />94 <br />vo- <br />Business Phone Number <br />SSet)� S'7, ` (City) (State) <br />(� /`� <br />Check One: ❑ Individual ❑Partnership ❑Corporation <br />Check All That Apply In Orono: Residential PCommercial ❑Roll -Off <br />Applicant's Name <br />Address <br />S C, <br />(Zip code) <br />(Street) (City) (State) (Zip code) <br />Phone Number Email <br />NOTE The City of Orono enforces spring weight restrictions each year. Orono follows the State, typically <br />restrictions run from March V – May 151 each year Fines 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 />Description of Vehicles (attach Iist if more) Number of vehicles to be used in Orono <br />YearMfU. Gross wt. Front Axle Wt. Rear Axle Wt. Size/Yards License Number <br />W law, <br />112 <br />General area of City served: C 11. t ),I , I <br />13 .E 5 �G I L L7 [5-4K ,�. Ik.� L�'lrcvr�.e) KcS <br />Schedule of Collection charges/ dates: <br />Approximate number of customers in Orono: % <br />Location of dumping area: C&U, ? i rl C— <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 - $50,000 and 10 -day cancellation clause <br />• Annual fee is a7$ 5.00 flat rate fee, plus $15.00 per true lz 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 information is correct. <br />(Iowfa — �Q 0-� kk-X <br />Applica6egiinature Date <br />FOR CITY USE ONLY: After review of application, staff recommends: <br />❑ Approval ❑Denial ❑Other (specify) <br />Signature of City Official <br />