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P <br />SI <br />Department of Emptoymens <br />no Economic teveloppm <br />enf <br />yY e ✓ V <br />Application <br />for Approval of Industrial Development /Revenue Bond Project <br />Pursuant to Minn. Stat. 469.152 — 469.165 <br />Page 3 of 3 <br />We, the undersigned, are principal officer(s) or representative(s) of the Issuer <br />and solicit DEED's approval of this project. <br />Rick Montour, Acting Mayor <br />Signature Print Name and Title <br />515 Little Canada Road East Little Canada, MN 55117 <br />Street Address City, State and Zip <br />n/a March 14, 2012 <br />E -Mail Date <br />Joel Hanson, City Administrator <br />Signature Print Name and Title <br />515 Little Canada Road East Little Canada, MN 55117 <br />Street Address City, State and Zip <br />Joel.hanson @c.little - canada.mn.us March 14, 2012 <br />E -Mail <br />DEED Approval <br />Date <br />Authorized Signature Approval Date <br />(Approval shall not be deemed to be an approval on the feasibility of the project or the terms <br />of the revenue agreement to be executed or the bonds to be issued thereof) <br />Send two copies of form and one copy of supporting documents noted on page 2 to: <br />Minnesota Department of Employment and Economic Development <br />Bob Isaacson, Director, JOBZ & Business Finance <br />1st National Bank Building <br />332 Minnesota Street, Suite E200 <br />St. Paul, Minnesota 55101 <br />Phone: 651- 259 -7458 <br />E -mail: Bob.lsaacson @state.mn.us <br />Fax: 651- 296 -5287 <br />IDB Approval 4 -10 <br />4532635v1 <br />Revised 04/10 <br />