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VILLAGE OF LITTLE CANADA <br />RAMSEY COUNTY, MINNESOTA <br />APPLICATION FOR LAND FILL PERMIT <br />$ Date of Application_ ____ 47 -,22/ .._ __ _ _ —___.. REC <br />1 <br />APPLICANT /��.�,� f t1s:',�e.) ADD.° ,.zz.;�•� �f �ne f.+%fi>° TEL �t�`+�`.ti -� 72 <br />/ t/2S ,2 3' 9' . <br />PROPERTY OWNER. _'f}e-�°i/ qtr'-° �ZL> t�ADD ._:���x'<�2_1_�I'�Y�asJC% %��y TEL <br />ADD. TEL.- --------- -- .... ---- <br />CONTRACTOR <br />Legal Description of Property to be Filled <br />- cost- to 3O .. <br />Description of Fill to be Used <br />de C F a- <br />Time in which work will be started J0 1 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. ( / ,/1 ' 2 <br />(Signature of A, licant) <br />APPROVED BY VILLAGE COUNCIL DATE <br />APPROVED BY VILLAGE ENGINEERS DATE <br />APPROVED BY ATTORNEY DATE ±24 <br /><.ya'.,, ,o CLERIC <br />