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City of Dacono Refuse Haulers' License Application

  1. Is this a NEW application? *
  2. Please be as detailed as possible.
  3. (If applicable)
  4. A surety bond in the amount of $2,000 is required for this application. Please mail original copy to the City of Dacono, PO Box 186, Dacono, CO 80514
  5. I swear or affirm under penalty of perjury under the laws of the State of Colorado that (check one):*
  6. I understand that this sworn statement is required by law because I have applied for a public benefit. I understand that state law requires me to provide proof that I am lawfully present in the United States prior to receipt of this public benefit. If further acknowledge that making a false, fictitious, or fraudulent statement or representation in this sworn affidavit is punishable under the criminal laws of Colorado as perjury in the second degree under Colorado Revised Statute 18- 8-503 and it shall constitute a separate criminal offense each time a public benefit is fraudulently received.
  7. Please read the following statement:
    I declare, under penalty of perjury, that this application has been examined by me and that the statements made herein are to the best of my knowledge and belief, true, correct and complete.
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  9. This field is not part of the form submission.