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CITY OF ORONO _ _ _ License Year _ 9S -7 'r� 0 <br />.P.O. Box 66 ', g 0\�,,!7 ( Date Received <br />Crystal Bay, MN 55323 t% ----- Fee Paid 4:Z�. CZ% Initials �) <br />473-7357 l% <br />APR 2 21987 <br />GARBAGE 11EFUSE 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 t�cense to do so. <br />Business/Firm <br />Address L,L 0-6-0 <br />(Street) (-City) G'7� -(- (State) ( Zip C�'de <br />Business Phone Plumber l�—�- Q — <br />Applicant' Name <br />Addressn-Yro <br />(Street) (City) (State) (',lip Code) <br />Phone Number-- ?2_ <br />Check One: Individual Partnership Corporation <br />Number of Vehicles to be used in Orono <br />Description of <br />Year Nfar. <br />1_^? <br />l� <br />Vehicles (attached list if <br />Loaded Loaded <br />Gross Wt. Rear Axle Wt. <br />,�*a Z0-0 <br />6-3 9 � <br />General area of City <br />more): <br />Size/Yards <br />License Nuriber <br />-73a <br />77317 <br />served <br />60 <br />----`" char =s/ tes _V��'��4��i <br />Approximate number of customers in Orono O--d <br />Location of dumping area <br />--------------------------------------------------- <br />IN ORDER FOR <br />BE COMPLETE, <br />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 an rat� of the above business and I have paid all license fees <br />and taxes requ' by Aaw. The above information is correct. <br />Applicant Date <br />-------------------------------------------------------------------------- <br />FO CITY USE ONLY: After review of application, staff recommends: <br />Approval Denial Other (specify) <br />Slgnatur/* of City Official Date <br />