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VILLAGE OF LITTLE CANADA <br />,<AMSEY COUNTY, MINNESOTA <br />APPLICATION FOR LAND FILL PERMIT <br />$ Date of Application 11 /' y i REC — <br />APPLICANT ADD TEL <br />PROPERTY OWNER ADD TEL <br />CONTRACTOR ADD. TEL <br />Legal Description of Property to be Filled <br />Description of Fill to be Used <br />Time in which work will be started 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 />APPROVED BY ATTORNEY DATE Q 1 1 <br />>,e CLERK <br />/ 6 )1/ / /JJJ4.< <br />(Signature of Apogee <br />