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CITY OF ORONO License Year <br />P.O. Box 66 Date Received <br />Crystal bay, MN 55323 Fee Paid Initials <br />473-7357 •.• �" 7@7 <br />�ifGARBAGE a REFUSE COLLECTOR'S LICENSE APPLIC <br />The undersigned wishes to operate the indicated business in th <br />herewith makes application Ifor a licens-/e. to do so. L CITY OF ORONO <br />Business/�g+i rm EASE I00 to �A.cr/A�/ON <br />Address vC. /. e.. -2 eue .. _ ill.. S � AS - <br />Business Phone Number I/r//- <br />Applicant's Nam ese� �t`e /r .va I L <br />Address 8100(Idoe.a <br />(Street) (C <br />Phone Number f/c,r/ - �G! S- <br />LU <br />Check One: Individual Partnership Corporation <br />U •/ <br />Number of Vehicles to be used in Orono 0-"C, <br />Description of Vehicles (attached list if more): <br />Loaded Loaded <br />Year .Mff .� Gross wt. Rear Axle wt. Size/Yards Lice se ber <br />999 L-erd 1noo LegT <br />General area of City served 14r1 <br />Schedule of Collection charges/ dates JAP'v — 94 ! _ <br />Approximate number of customers in Orono � 36G <br />Location of dumping area Le rC /t <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 30-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 />andd1taxeess required by law. The above information is correct. <br />A <br />PP ant Date <br />--- -----------'-"'-"---------------'---------------------------'---- <br />FOKJITY USE ONLY: After review of application, staff recommends: <br />Approval De ial other (specify) <br />Siq atur( of City r ffi0 al Date <br />/ <br />