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CITY OP ORONO <br />P.O. Box 66 <br />Crystal Bayr MN 55323 <br />473-7357 <br />License Year <br />\3 ‘ • <br />/^/96r <br />Date Received 5~/ f! <br />Fee Paid ^Initials <br />garbage & REPOSE COLLECTOR'S LICENSE APPLICATION <br />The unde-signed 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 <br />Address 5~9c o <br />r/X/U f 7~/X-r/f/Ly ^ XJ C- <br />__________A'I _ <br />(Street) <br />Business Phone Number <br />(City) (State)(Zip Code) <br />Applicant's Name <br />Address / ////>?/*^ ^/>!*-> <br />(Street) <br />Phone Number <br />'££,1112. <br />V'? 9’ - n. J 3 <br />(City)(State) (Zip Code) <br />Chec)c One:Individual <br />Number of Vehicles to be used in Orono <br />Partnership <br />(_ <br />Corporation <br />Description of Vehicles (attached list if more). <br />Loaded Loaded <br />Yea-Mfor.Gross Wt. Rear Axle Wt.Si.2e/Yard_s License Number <br />‘7JL. <br />7/>1 <br />General area of City served ___^--------------------------------------------------------------- <br />Schedule of Collection charges/ datef . ------>7d/>n ------------ <br />ADproxiinatie number of customers in Orono — Q __—----------------------------------- <br />Location of dumping area <br />IN O^mVoR THIS APPLICATION TO BE COMPLETE, YOO MUST ENCLOSE THE FOLLOWING: <br />surety bond in the amount of $1,000. Proof of insurance <br />S^no ooo-S300,000-$50,000, and 10-day cancellation clause. f, <br />flat rate fee, plus $ 15/truck, _an_d_a_$_3_0_._0_^^ <br />iTnTthe owner and operator of the above business and I have paid all license fees <br />LTtaLs required by law. The above information is correct. <br />Applicant 7 ^ _ _ _ _ _ _ _ ___ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ <br />/?- - - - -- - - <br />Sig(;iature of City Official Date <br />_____________________________________________________________________________________________ <br />\