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VILLAGE OF LITTLE CANADA <br />RAMSEY COUNTY, MINNESOTA <br />APPLICATION FOR LAND FILL PERMIT <br />Date of A.pption <br />APPLICANT ./ (S ADD �q <br />PROPERTY OWNER_ _._ /J &..-,_/ €IS ADD ? -qgy <br />CONTRACTOR //' /�P _. ..1j ADD. ZQ 8 c( jJ to; io <br />REC <br />TEL el ' -0)2,-cm <br />TEL c /g7_07a0 <br />TEL y0‘11'07ae7 <br />Legal Description of Property to be Filled <br />\‘) \ <br />Description of Fill to be Used <br />Time in which work will be startedra1 <br />Time Completed <br />REMARKS: (specify <br />any alteration of soil) <br />\ \Q Rp'Nrj\A <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 />UPIA <br />of the Village of Little Canada. <br />APPROVED BY VILLAGE COUNCIL <br />APPROVED BY VILLAGE', <br />APPROVED BY ATTORNE- <br />ature of Applicant) <br />DATE <br />