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c. - • - V <br />• f • <br />CITY OF ORONO <br />P.O. Box 66 <br />Crystal Bay^ MN 55323 <br />473-7357 <br />D,. - - -CITY OF <br />ORONO License Year <br />Date Received <br />Fee Paid Initials <br />GARBAGl3^fiHR^0S]j0gpLLECTOR*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 />Rncinpcs/Pirm Blackowiak & Son Sanitation & Rolloff Service_ _ _ _ _ _ _ _ _ _ <br />Ad^T-ess 1195 Sunnyfield Rd. N. Mound Mn. 55364 <br />(Street) <br />Business Phone Number 472-3398 <br />(City)(State) (Zip Code) <br />Applicant' s Name Fran)< Blackowiak <br />Address 1155 Sunnyfield~Rd. N._ _ _Mound Mn.55364 <br />(Street) <br />Phone Number _ _ _472--2977 <br />(City)(State) (Zip Code) <br />Check One:Individual Partnership <br />7 <br />Corporation <br />Number of Vehiclos to be used in Orono _ <br />Description of Vehicles (attached list if more): <br />Loaded Loaded <br />year Mfgr. Gross Wt. Rear Axle Wt. Size/Yards <br />_ _ _ _ _ _ (SEE ATTACHED) _ _ _ _ _ __ <br />License Number <br />General area of City served ALL QF Orono except Ferndal^ <br />Schedule of Collection charges/ dates /.crf attachedI <br />Approximate number of customers in Orono Approximately 2500—-- - -- <br />Location of dumping area Hennepin Energy Resource <br />FOR THIS APPLICATION TO BE COMPLETE, YOU MOST ENCLOSE THE FOLLOWING:IN ORDER <br />Surety bond in the amount of $1,000. Proof of insurance f <br />$100,000-$300,000-$50,000, and 10-day cancellation clause, f®®bll) <br />$30.00 flat rate fee, plus $15/truck, and a $30.00 transfer^fee Ji£^applicableK <br />I am the owner and operator of the above business and I have paid all license fees <br />and taxes requiredJjy law. The above information is correct. <br />4/24/97 _ _ _ _ _ _ <br />Applicant Date. <br />FOR CITY USE ONLY: After review of application, staff recommends: <br />■■■ Denial_ _ _ _Other (specify)Approval <br />i/l/iMax 4 S'/sAr? <br />Signature of' CityOfficial Date <br />04/30/97 Pay 135.00