06-10-1985 Council Packet - Laserfiche WebLink

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CITY OF ORONO License Year P-.O. Box 66 Date Received Crystal Bay, MN 55323 Fee Paid '-A, r Initials, 7/l 473-7357 GARBAGE a REFUSE COLLECTOR'S LICENSE APPLICATION The undersigned wishes to operate the indicated business in the rity of Orono and herewith makes application for a license to do so. Business/Firm �' n i�r !✓ iL i /� ✓ �" �•,� I (° )- Address ^ u 7 :, (' O F?_j) J O ✓' AF / Oc/�i/i ;!G/ (Street) (City) (State) (7.ip I Business Phone Number y J Applicant's Name ri L / /r/ fi L L' (' /- Address 7 i) / /, C. U / n G /U .4 P7 L/{./A�. •a/A� J JJ�aY (Street) (City) (State) -((Zip Code) f Phone Number �� 7 '% - �y 1 G Check One: Indi•.idual Partnership Corporation Number of Vehicles to be used in Orono Description of Vehicles (attached list if more): Loaded Loaded Year Mfgr. Gross wt. Rear Axle wt. Size/Yards License Number Ger,-gal area of City served IA1474-47-o GV41 RDy H.4CR04--RR/'/f///7 W/ // o W ,D /{ d L a v b � f /< /= /l v Schedule of Collection charges/ dates a. a U PG A4 G A/Tf.� Lipi Approximate number of customers in Orono / O O Location of dumping area �� ,7 ^ f) /i /- L 4-- (n A / _____________________________________________________________________ IN ORDER FOR THIS APPLICATION TO BE COMPLETE, YOU MUST ENCLOSE THE FOLLOWING: Surety bond in the amount of $1,000. Proof of insurance in the amount of $100,000-$300,000-$50,000, and 10-day cancellation clause. Annual fee is a $30.00 flat rate fee, plus $15/truck, and a $30.00 transfer fee (if applicable). __________________________________________________________________________ I am the owner and operator of the above business and I have paid all license fees and taxes required //by law. The above information is correct. Tpp ii cent Date r ______________________________________________________________ FO TY USE ONLY: After review of application, staff recommends: Approv Denial Other (sp ecify) g nature of C ly Official Date Of L