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2. Please submit the following information. Someone from the city will contact you with complete information and a code for the drop-off containers. Please contact city hall at 952-960-7900 if you have any questions.

4. Full Name*
6. Address*
8. City
9. State
10. Zip Code
12. Phone Number*
13. Email Address*
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15. 1. Receive an email copy of this form.
16. Email address

    This field is not part of the form submission.

17. Submit

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