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CITY OF ORONO License Year //9 - / <br />P.O. Box 66 Date Received -)- a 9-)191 <br />Crystal Bay, MN 55323 Fee Paid %S. Initials =AA) <br />473-7357 <br />GARBAGE a REFUSE 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 />Business Phone NumberV7-/3%9 <br />Phone Number <br />Check One: ` Individual <br />Number of Vehicles to be used in Orono <br />Partnership <br />Description of Vehicles (attached list if more): <br />CbYp' ation,� <br />Loaded <br />Loaded <br />Year <br />Mfqr. <br />Gross wt. <br />Rear Axle wt. <br />Size/Yards License Number <br />78ro� <br />3 GGO <br />dGG_ <br />d <br />%J�.GUe <br />s%7Y3 <br />� <br />3a� <br />'A' ✓GG <br />3�, boc <br />a.5 �� <br />General area of City served A//fYi9/i".PE <br />Schedule of Collection charges/ dates �47, <br />Approximate number of customers in Orono /J G <br />Location of dumping area l� L- <br />-------------------------------------------------------------------------- <br />IN ORDER FOR THIS APPLICATION TO.BE COMPLETE, YOU MUST ENCLOSE TUB 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 />-------------------------------------------------------------------------- <br />I am the owner and operator of the above business and I have paid all license fees <br />and taxpa required by law. The abovinformation is correct. <br />ClAk waorm CI.tFA/ri -?Y <br />WlicantvDate <br />--'--"----------------------------------------------------------------- <br />FO ITY USE ONLY: After review of application, staff recommends• <br />pp val r Denial Other (specify) <br />-,a <br />ghature of gity fficial Date <br />