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OP ORONO <br />P.O. Box 66 <br />Crystal Bay, MN 55323 <br />473-7357 , <br />License Year <br />Date Received <//j/,/r.o <br />r.Fee Paid Initials <br />^11 k wriwuOGARBAGE & REPOSE COLLECTOR'S LICENSE APPLICATION <br />The undersigned wishes to operate the indicated business in the City of Orono and <br />herewith makes application for a license to do so. <br />Business/Firm H ^T/i A'. / /C’g_ - - - - - - - <br />Address <br />(Street) (City) <br />Business Phone Number — cZ3S^ <br />(State) (Zip Code) <br />Applicant's Name (1^/C- _________ ________________________ <br />Address _______ ^ S7~ p--5~Ptr9 <br />(Street) ^Tcity) (State) (Zip Code) <br />Phone Number _ _ _ _OO'3/3_ _ _ <br />Check One:Individual Partnership <br />/ <br />Corporation <br />Number of Vehicles to be used in Orono __ <br />Description of Vehicles (attached list if more): <br />Loaded Loaded <br />Year Mfqr. Gross Wt, Rear Axle Wt. Size/Yards <br />*yh <br />License Number <br />/r/3L3 <br />General area of City served <br />Schedule of Collection charges/ dates 7 ~~~ <br />Approximate number of customers in Orono /Q <br />Location of dumping area —____ <br />IN ORDER FOR THIS APPLICATION TO BE COMPLETE, YOU MOST ENCLOSE THE FOLLOWING: <br />Surety bond in the amount of $1,000. Proof of insurance in the amount of <br />$100,000-$300,000-$50,000, and 10-day cancellation clause. Annual fee is a <br />$30.00 flat rate fee, plus $15/truck, and a $30.00 transfer fee (if applicable^ <br />I aun the owner and operator of the above business and I have paid all license fees <br />and taxes required by law. The above information is correct. <br />_ _ _ _ _ _ _ _ ___ _ _ _ _ _ _ <br />Applicant ' Date. __ _ _ _ _ <br />FOR CITY USE ONLY: After review of application, staff recommends: <br />Approval _________ Denial _________.Other (specify)’ <br />Si^|^^reflS^ City Official <br />'3’//e. /c c <br />Date