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VILLAGE OF LITTLE CANADA <br />RAMSEY COUNTY, MINNESOTA <br />APPLICATION FOR LAND FILL PERMIT <br />$ r Date of Application —___ . REC <br />APPLICANT I CAc _: -'-e , _Lt „if; . ADl ),i: p / w -, .. / . i �l_-C. TEL /S" i -Y7 / % <br />PROPERTY OWNER f1 LLtilirz, Cr. S 1 ADD. )C(Cl toil, 4-t 4' -C • }; - /t-I TEL <br />CONTRACTOR ADD. TEL <br />f <br />k773 /771 <br />C/0 bfr <br />Legal Description of Property to be Filled <br />Description of 'fi`ill to be Used <br />Time in which work will be started -DO l i 'c f <br />Time Completed <br />REMARKS: (specify any alteration of soil) <br />REMARKS (Village Engineer) <br />REMARKS (Village Attorney) <br />I, the undersigned, hereby agree to do all work in strict accordance with all recommendations and all ordinances <br />of the Village of Little Canada. — <br />APPROVED BY VILLAGE COUNCIL DATE <br />APPROVED BY VILLAGE ENGINEERS DATE <br />(Signature of Applicant) <br />APPROVED BY ATTORNEY DATE <br />CLERIC <br />Page -23- <br />