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• ** i <br />CITV OP ORONO <br />P.O. Box 66 <br />Crystal Bay, MN 55323 <br />473-7357 <br />r **" <br />■' w * <br />Al^fi 'i 9 m <br />License Year <br />Date Received <br />Fee Paid Initials <br />GARBAGE & RM^6Sti"'COT^CT0R'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 <br />Address <br />^/0/U / r^T7(?/J .'X/ <br />(Street) (City) <br />Business Phone Number 0> /z^/ y 5 <br />(State)(Zip Code) <br />Appliccunt' s Name <br />Address <br />(Street) <br />Phone Number <br />(City) <br />O/L/ ^^3 <br />(State ) (Zip Code) <br />Check 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 />Year Hfqr. Gross Wt. Rear Axle Wt. Siae/Yards License Number <br />/ 990 /=^0- 0 7 b V /) Soo c> <br />General area <br />Schedule of Collection charges/ dates <br />Approximate number of customers in Orono <br />Location of dumping area ^ <br />il/wIN ORDER FOR THIS APPLICATION TO BE COMPLETE, YOU MUST 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 am the owner and operator of the above business and I have paid all license fees <br />and “^xes required by law. The above information is correct. <br />larft 'TApplie Date <br />FOR ^TY USB ONLY; After review of application, staff recommends: <br />Approval _ _ _ _ _ _ Denial_ _ _ _ _ _Other (specify)' <br />Date