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MINNESO'JA WASTE MANAGEMENT BOARD <br />WA51'E TIRE FACILITY PERMIT APPLICATION <br /> <br />INSTRUCTIONS: PRINT IN INK OR TYPE. SUBMITA <br />COMPLETED APPLICATION TO THE MINNESOTA WASTE <br />MANAGEMENT BOARD, THE SOLID WASTE OFFICER OF <br />THE COUNTY WHERE THE FACILITY IS LOCATED OR WILL BE <br />LOCATED, AND RETAIN ONE COPY FOR YOUR RECORDS. <br /> <br />For Office Use Only <br />Date Received <br />Complete <br />Incomplete <br />Issue, <br /> <br />Deny. <br />Permit Number <br /> <br /> SECTIONI. GENEKALFACILITYINFORMAT~ON <br />Include all applicable information, indicate any information that does not apply and explain. <br /> <br />1) Facility Information <br /> <br /> Facility Name AnoVa Zarx~ill Tire 2z~:~cessir)q Facility . <br /> <br /> Address 14730 Sunfish Lake B]vd. <br /> <br /> '[he facility is located in T. 32. N .... R 25W <br /> <br /> in City of Ramsey 'township of Anoka <br /> <br />2) Check the appropriate line. <br />'[he application pertains to: 3) <br /> × a proposed new facility <br /> 6,; ex;~ting u,~permiLted facility <br /> a permitted [acility for renewal <br /> <br /> Telephone( 612 ) 421 <br />City. Anoka State MN <br /> , Section <br /> <br />County. <br /> <br />The type of facility is: <br /> Transfer <br /> Stor;~g¢. <br /> .x Processing <br /> <br />Zip <br /> <br /> 22 <br /> <br />0540 <br /> <br />55303 <br /> <br />Facility Owners and Operators Information: <br />Include all owners and operators of the facility <br /> <br />Owners Name Waste Management of MN, Inc. <br /> <br />Address 14730 Sunfish Lake Blvd., Anoka, MN <br /> <br /> Telephone( 612 ) 421 <br />55303 <br /> <br />054O <br /> <br />Identify Owner as__ Individual__ <br /> Other, explain <br /> <br />X Business__ Partnership. Public Entity. <br /> <br />Owners Name N/A <br />Address <br /> <br />Telephone (. <br /> <br />Identify Owner as Individual__ <br />__ Oti:~er, explain <br /> <br />Business__ Partnership. Public Entity. <br /> <br />Operators Name <br />Address <br /> <br />Same as Owner Telephone( <br /> <br />Identify Operator as__ <br /> Other, explain <br /> <br />Individual__ Business__ Partnership. Public Entity. <br /> <br />Operators Name <br />Address <br /> <br />Telephone j~ <br /> <br />Identify Operator as__ Individual__ <br /> <br /> Other, explain <br /> <br />Preparer of Application: <br /> <br />Name Foth & Van Dyke <br /> <br />Business__ Partnership. Public Entity. <br /> <br />Addre~ 2737 S. R~doe <br /> <br />and Associates Inc. Telephone( 414 <br /> <br />Road Green Bayj W~sconsin. 54304 <br /> <br />497 . 2500 <br /> <br /> <br />