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VILLAGE OF LITTLE CANADA �y <br />RAMSEY COUNTY, MINNESOTA • �/ fc2 y7 <br />APPLICATION FOR LAND FILL PERMIT <br />$ / fl. a D` a of A. plication_ __ .... _` <br />/(/ <br />APPLICANT 6 t'%2 :A} �Y! L/lt anz) ADD <br />PROPERTY OWNER 1pv1 Z1O itCef /dADD. <br />CONTRACTOR (i (.J. kA., • ADD <br />REC <br />TEL <br />TEL <br />TEL <br />ode, ,e <br />Legal Description of Property to be Filled <br />Description of Fill to be Used <br />Time in which work will be started 2: an_ 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 I3Y ATTORNEY DATE.._ <br />('LEUk. <br />(Signature of Applicant) <br />