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CICT OP*ORONO <br />P.O. Box 66 <br />Crystal Bay, MN 55323 <br />All-1251 <br />License Year / ^ 1 <br />Date Received 5^' b" - 7 <br />Fee Initials jCi^ <br />GARBAGE & 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 />/• <br />(Street) / (City)(State) <br />Business Phone Numlser ___________ <br />nerewitn maxes appxica.ta.uu xuo. « ..w <br />Business/Firm ^ <br />Address /^/y7 <br />(Zip Code) <br />Applicant's Name ^ <br />Address _ _ _ _ _ _ _ _ <br />(Street) _ ^ <br />Phone Number <br />_ _ r.^.x—^ <br />(City)(State) (Zipip CodeO • <br />Check One: _ _ _ _ Individual _ _ _ _ Partnership <br />Number of Vehicles to be used in Orono <br />Corporation <br />Description of Vehicles (attached list if more): <br />Loaded Loaded Size/Yards License NumberYear <br />Ifi0> <br />Mtgr.uro s s w I. • <br />/V.ova <br /><’/ (Ton <br />0 <br />' // <br />r?-o//£/S <br />• <br />General area of City served /7p6 C- <br />Schedule of Collection charges/ dates <br />Approximate number of customers in Orono _ _ _ _ __ _ _ _ _ _ _ ___ _ __ <br />Location of dumping area <br />IN ORDER POR 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, .^nual fee xs <br />$30.00 flat rate fee, plus $15/truck, and a $30.00 transfer fee (if applicaox^^. <br />I am 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 />'7--" <br />PORyCITY OSE ONLY <br />/ Approval <br />After review of application, staff recommends:^ <br />Denial _ _ Other (specify) <br />iiAlii ( ( jJ\ <br />.anature df/ City ottxcialsign Date