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, <br />VILLAGE OF LITTLE CANADA <br />RAMSEY COUNTY, MINNESOTA <br />APPLICATION FOR LAND FILL PERMIT <br />Date of Appl;cation_ REC <br />APPLICANT Ci ..hit, (1/'Y) 4,2 ADDLLX 5 iZecZ, . cot. - ( t TEL `ii 1 <br />PROPERTY OWNER ADD TEL <br />CONTRACTOR API). TEL <br />Legal Description of Property to be Filled <br />Description of Fill to be Used <br />Time in which work will be startedH)( / <br />Time Completedigi, 3/ <br />REMARKS: (specify any alteration of soil) <br />REMARKS (Village Engineer) <br />P,EMARKS (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 />77,. 7/4.4j) at <br />(Signature of Azo)iCant) <br />APPROVED BY VILLAGE COUNCIL '- <br />APPROVED BY VILLAGE ENGINEERS <br />APPROVED BY ATTORNEY <br />