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Little Canada, Minnesota <br />APPLICATION FORM <br />)C. Land Excavation Permit <br />>C Land Fill Permit <br />No. <br />Fee <br />Paid 4.500t__. <br />Rec. No. IC1-7 <br />484 -9000 <br />Applicant YORKTON LTD., INC., 1690 UNIVERSITY AVE., #180, ST. PAUL MN 55104 <br />(Name) .(Address) (Phone) <br />484 -9000 <br />Owner R.L.F. OF MINNESOTA, 1690 UNIVERSITY AVE., #180, ST. PAUL, MN 55104 <br />(Name) (Address) (Phone) <br />Property Location: (Street Address) SO. OWASSO BLVD., LITTLE CANADA, MN 55117 <br />(Legal Description) SEE ATTACHED <br />ATTACH AS EXHIBIT A. <br />Purpose for the excavation /land fill: FOR DEVELOPMENT OF RESIDENTIAL LOT AND <br />3 INDUSTRIAL SITES. <br />Where is the fill material from? (Land Fill Permits only) ON SITF <br />What type of material is being excavated /filled? <br />X black dirt; X sand; gravel; unconsolidated rock; rip -rap; <br />other: <br />How much material is being excavated /filled? 100,000+ YDS <br />List street routes in the City on which the material is to be hauled: <br />SO. OWASSO BLVD. AND COUNTRY DRIVE OR RICE STREET <br />Estimated date of completion: 3 YEARS, 1988 <br />Will a security fence be provided during construction? NO <br />Exhibit R - Attach a site plan showing present topography and also including <br />boundary lines for all properties, watercourses, wetlands and other significant <br />factors within 350 feet. <br />Exhibit C - Attach a site plan showing the proposed finished grade. Included <br />should be measures proposed for erosion control and a final landscape scheme. <br />In signing this application, I hereby acknowledge that I have read and fully <br />understand the applicable provisions of the City Code and current administra- <br />tive procedures. I further acknowledge the fee explanation as outlined in <br />the application procedures and hereby agree to pay all statements received <br />from the City pertaining to additional application expense. <br />8 n <br />�" �d1F,v "1- 7 0 - s <br />Signature of Applicant Date <br />