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.. ... ■:• . <br />» I <br />City of Orono <br />Box 66 (2750 Kelley Parkway) <br />Crystal Bay, MN 55323 <br />(952) 249^600 <br />License 'fw <br />.} <br />Date Received <br />l^ftnitiaUl^Fee Paid <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 />Busioess/Firm, <br />Address <br />BFX yVftSTtr SysICtAS cf fvloftfK <br />^*^13 OM- Ck. 6CcuFtA‘tiii r^Jj <br />./fith ed <br />Business Phone Number <br />553y7 <br />(City)(State)(Zip code) <br />DflNApplkinfs Name__ ______________________ <br />Address ____"7<cCr CCv^>^^v.ClO^^ f)n.. Pfrsgor <br />(Street) <br />Phone Number Q 5^- ‘IBS' <br />(City)(Sute)(Zip code)0 <br />Check One:Individual Partnership <br />Number of Vehicles to be used in Orono __ <br />Description of Vehicles (sttacl^Jisti£more): <br />Year Mfgr. ( GrossjytTI^ r^^ear Axle Wt^ j <br />Corporation 1 r}S^ r/' <br />Sizc/Yards License Number <br />sfinsra^. <br />General area of City served /!ify Liyii'i’S <br />Schedule of Collection charges/ dates fii • rwCfv)‘»/lly - Ot'.yC <br />Approximate number of customers in Orono QP <br />Location of dumping area HCNm <br />IN ORDER FOR THIS APPLICATION TO BE PROCESSED. YOU MUST INCLOSE THE FOLLOWING: <br />■ Surety bond in the amount of S1,000. <br />■ Proof of insurance in the amount of S100.000 - S300.000 • $50,000 and lO-day cancellation clause, <br />a Annual fee is a 550.00 flat rate fee, plus $15.00 per truck, and a $30.00 transfer fee (if applicable). <br />1 am the owner and operator of the above business and I have paid all license fees and ta.xe$ tequired by law. I have <br />verified that the aboveinformati^ is correct. <br />S-tS-03 <br />Applicant Si Date <br />FOR^efTV USE ONLY: After review of application, suff recommends: <br />Approval Denial Other (specify) <br />Signaturep^it^fflcial U <br />|UU|d AdfiM ..■-.cdrtll.