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CITY OP OnONO <br />I 0. Box 66 <br />Crystal Bay, MN 55323 <br />473-7357 <br />License Year <br />Date Received <br />Fee Paid TTf <br />GARBAGE & REFUSE COLLECTOR'S LICENSE APPLICATIO <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. NAY <br />Business/Finn LD ^ , <br />Address ^(/ <br />3 1990 <br />(Street) , (City) <br />Business Phone Number ^/7~ / 7^ / <br />(State) <br />_ _S^Si^a <br />(Zip Code) <br />Applicant's Name <br />Address <br />^ (Street) ^ ^ , <br />Phone Number V? 9- <br />(City) <br />!heck One:[ndividual <br />umber of Vehicles to be used in Orono <br />Partnership <br />3 <br />(State) (Zip Code) <br />Corpo-ra#i.€H>4 <br />ascription of Vehicles (attached list if more): <br />Loaded Loaded <br />Gross Wt. Rear Axle Wt. Size/Yards Licensie'yr'dmb'i^'± <br />imm <br />1311700000 #01 ODI ;5.00 <br />CiSK JL 75,00 <br />RECEIf'T-TimK YOU . <br />IffH JU-/^{txro Xi/7 oJU^<Jn /_<rS’<77 <br />'ffr n3(^f3 <br />u a t/3‘f9 9a <br />Schedule of Collection charges A dates ^ .LuyC/ <br />>>wvc:a^ <br />^ ,2 cf^At'proxi;aate number of customers in Orono ^ <br />Location of dumping area <br />tN ORDER FOR THIS APPLICATION TO Be”cCMPLETE, YOU MUST ENCLOSE THE FOLLOW "NG: <br />Surety bond in the amount of $1,000. Proof of insurance in the amount of <br />1100,000-$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 />•: am rhr .nwruir and operator of the above business and I have paid all license fees <br />taxes rsq)^i^ed ^y law. The above information is correct. <br />9c_ _ _ _ _ _ __ <br />Dateipplrcant <br />XIR CITY USE ONLY: After review of application, staff recommr»n^s: <br />_ _ _ _ Approval _ _ _ _ _ Denial _ _ _ _ _ Other (spec.Ay) <br />ignature of City Official Date