HomeMy WebLinkAboutTRENT HILL CONDOSExemption year: ZD Y
PRIVATE HAULER
URESIDENTIAL
GARBAGE
US EMPTIONNAPPLICATION
CITY OF WATERLOO, IOWA
Date
gal —7^ ,� I Co �i M O. ASS°"Telhone No.3 i �1 °LU"319
Applicant's Name: /fie � � `' epy.,� _co
v'v
3�3G %�.of Lati � in :
Billing Address:
Address of Exemption: � � It
Water Works Account No.:
r
I plby theaserviceslof afrom
licensedGarbage
trashFees
hauler. the
Onlycurrent
locationawhereYear.
the
trash garbage and trash w ll qualify for the exemption.
trash hauler picks up
Applicant's Signature
(�CCul��vry
TO BE COMPLETED BY LICENSED GARBAGE�AND TRASH HAULER:
(We) Oath A'4alc �`.'/ t ,)� h hereby declare that we are
Company Name
a licensed trash hauler in the City of Waterloo, Iowa, and that we pick up
garbage and refuse at the following location:
Beginning Ending
Address Location of
Date of Date of
Garbage/Trash Pick -Up
Contract Contract
Customer's Name � � �^ 1 -u / Z � .� � ��
-Txe Ot All o.�JcicS 343s� A.iti �vt
CONTRACT PERIOD MUST COVER AT LEAST CURRENT CALENDAR YEAR
Wein
a understand thatHthe 715° Mulberry Street, to n is used
determine Clerk's
eligibl eligibility Office for
Waterloo, City Hall,y
exemption from garbage fees for the current that
eId haute examined this
undersigned, declare under penalty of perjury
claim, including all statements and above schedule, and to the best of my
knowledge andbewith git is a TRUEall ordinances,
andCORRECT Npolicies of COMPLETEthe that I of Waterloo and
agree to comply
the Black Hawk County Solid Waste Commission.
In the event that the above person discontinues hereby agree service notih said
co panY
during the current calendar year,
we Office of this event by calling 291-4323.
Date
cj1 S C
SitlV'fe of Authorized Company Representative
I /tit,cfi-1,116U-t•LA-N."-g)6(er
Company's Address
cLip
Garbage & Trash Hauler's Permit License
(issued by Black Hawk County)
PLEASE RETURN TO: CITY
MCLERK &Y FINANCE OFFICE
7WATERLOO, IOWA 50703
City Clerk's Copy - white
Customer's Copy - yellow
Trent Hill Condominium Homeowners Association
3865 Trent Lane
Waterloo, IA 50701
Private Hauler Garbage Exemption Application
Address of Exemption
3833 Trent Lane
3835 Trent Lane
3847 Trent Lane
3849 Trent Lane
3855 Trent Lane
3857 Trent Lane
3863 Trent Lane
3865 Trent Lane
3844 Trent Lane
3846 Trent Lane
3834 Trent Lane
3836 Trent Lane
Water Works Account Number
112273-518030
112275-518030
112276-518030
112277-504520
112278-504520
112279-518030
112274-510647
112280-518030