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CITY OF ORONO <br />P.O. Box 66 <br />Crystal Bay, MN 55323 <br />473-7357 <br />License Year <br />Date Recgived q- • 911:- <br />Fee Paid7>6e0.13a Initials Tom) <br />GAR13AGE L REFUSE COLLECTOR' S LICENSE APPLICATION _�..'- � \IJ <br />The undersigned wishes to operate the indicated business in the;tYAM bi'oan of <br />herewith makes application for a license to do so. UI <br />/4:.. �'; )1', r/ar�,c rf Y CITY OF ORONO <br />(Street) (City) (State) (Zip <br />Business Phone Number t,. 1 % , 1' ),) - I F• I J <br />Applicant's Name t i 1: I I r f <br />Address !Llt,f A., .N<-: t <br />(Street) (City) (State) (Zip Code) <br />Phone Number 1'1'l P-bfI l <br />Check One: Individual <br />Number of Vehicles to be used in Orono <br />Partnership y Corporation <br />Description of Vehicles (attached list if more): <br />Loaded Loaded <br />Year <br />Mfg r. <br />Gross Wt. Rear Axle wt. <br />Size/Yards <br />License Number <br />UkK <br />1'CC IY /Cf <br />;'O <br />yX rif <br />2'f% <br />llf� <br />Iitf•0(yu.L <br />17yo <br />l: �I'7Z53 <br />General area of City served %A LL— <br />Schedule of Collection charges/ dates \ F,','- <br />Approximate number of customers in Orono .,' U <br />Location of dumping area (-U1l�.,LL2. LNG-�`r-�u -,n A.,,` 1A n. <br />-------------------------------------------------------------------------- <br />IN 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 />-------------------------------------------------------------------------- <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 informat'o is correct. <br />`��,1-% <br />Applicant Date <br />-------------------------------------------------------------------------- <br />FOR CITY USE ONLY: After review of application, staff recommends: <br />Approval Denial Other (specify) <br />SiLure or Ay Official Date <br />