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CITY OF LITTLE CANADA <br />RAMSEY COUNTY, MINNESOTA <br />APPLICATION FOR LAND FILL PERMIT <br />$ c-2-> Date of Application_ % <br />APPLICANT ADD. TEL <br />PROPERTY OWNER DcWiii-17 7 ez1/24C ADD TEL <br />CONTRACTOR ADD. TEL <br />C/73 <br />Legal Description of Property to be Filled <br />zia77 <br />.81-A: '7 40 <br />s 76- /ft`, .4-1.°A): <br />Description of Fill to be Used <br />Time in which work will be started clif/V`' 7'41 /eig-c9- Time Completed (7 4//'is 7/7 <br />REMARKS: (specify any alteration of soil) <br />REMARKS (City Engineer) <br />REMARKS (City Attorney) <br />I, the undersigned, hereby agree to do all work in strict accordance with all recommendations and all ordinances <br />of the City of Little Canada. <br />APPROVED BY CITY COUNCIL <br />APPROVED BY CITY ENGINEERS <br />APPROVED BY ATTORNEY <br />OC) <br />(Signature of Applicant) <br />