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05-27-2003 Council Packet
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05-27-2003 Council Packet
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r-'- e. <br />-• ^ . <br />CityofOrono <br />Box 66 (27S0 Kelley Parkway) <br />Crystal Bay, MN 55323 <br />(952) 249^600 <br />License Year ' <br />Date ReceivedT^^^Fj^ <br />Fee Paid nO"”ln»tiais O <br />‘•0 <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 />Business/Firm Rnrvtly'^ 4af<0ri Tfjc . <br />Address • LI .S. K f-/3> SE" t>ihr\0 Mn SS3^P <br />(Street) ' (City) <br />Business Phone Number f 7L3) 9 7jt -333 S' <br />(State)(Zip code) <br />Applicant's Name <br />Address <br />So/mti <br />Phone Number <br />Check One: <br />(Street) <br />SkO/m€-__ <br />(City)(State) (Zip code) <br />Individual Partnership Corporation <br />Number of Vehicles to be used in Orono a____ <br />Description of Vehicles (attach list if more): <br />Year Mfgr. Gross wt. Rear Axle Wt.Sixe/Yards License Number <br />,ajlL Y.f/ <br />General area of City served____ <br />Schedule of Collection charges' dates <br />Approximate number of customers in Orono <br />/f/fys' <br />Location of dumping area Kior^i ’K 1^, GfiOvO___________ <br />IN ORDER FOR XmS APPLICATION TO BE PROCESSED, YOU MUST INCLOSE THE FOLLOWING: <br />■ Surety bond in the amount of Sl.OOO. <br />■ Proof of insurance in the amount ofSIOO.OOO - $300,000 • $30,000 ar'' lO-day cancellation clause. <br />■ Annual fee is a SSO.OO flat rate fee, plus $15.00 per truck. an.s^^p-nr -?»■■■■ r r , py npplirahlf) <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 />Applicant Signature <br />^^5/03 <br />FORjCITY USE ONLY: After review of application, staff recommends; <br />Approvql^ ____Denial ____Ofter (specify) <br />Sigaatuf^f Ci^ Offi^l/
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