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<br />CITY OF <br /> <br />~ <br /> <br />':Qed" 07!07!C;q <br />~~ <br /> <br />2660 Civic Center Drive. Roseville, Minnesota. 55113 <br />Phone: 651-490-2200/Fax 651-490-2275 <br /> <br />1 <br /> <br />f..e f( <br /> <br />APPLICATION FOR EXCA V ATIONIFILL PERMIT <br /> <br />Directions: Please type or print information on permit. Submit with appropriate bonds, permits from <br />other agencies (County, State, City Utilities) and information. <br /> <br />1. <br /> <br />Name of Applicant (Individual, Partnership, Corporation, Association, or Property Owner): <br />:IY'\no \I~' waf t)G S' G}oJ <br /> <br />Business Name: Lb~ L1 CL:'-~'L 4-r" 4e_tl :~C't ~. 0 <br />. J () <br />Business Address: "2.2.5t-' 14f}S~~'iU 12.1 t'L'Sk'- V1lr t'h-I.\. <br /> <br />Phone: L.,s:-t ~ 4-~)=3 - ""Z 1(0; <br /> <br />2. <br /> <br />3. <br /> <br />4. <br /> <br />Typ'e of Pennit: <br />" Removing, excavating, or material storage <br />_Filling or raising existing surface grades <br />_Subdivision grading prior to final plat approval <br /> <br />6. Legal description and/or address of property: La\- g jS" c:.q2 T.';>>9 j (1..;}:1 <br />V~C::\b\":c.. $~A (111S- VLCJOV'ICL ') <br /> <br />7. Purpose~~ll: -roo ~...c.~ 50".\. NQ."-J ~w..~ c.\:!H'\s+('vc.1~o.., <br /> <br />5. <br /> <br />8. Estimated time of work to complete: ID d.A- Start DatelFinish Date: <br /> <br />9. Amount of material to be moved on the site and/or amount to b~om the site:~ Co ~ <br /> <br />~ -r 4~ CL" - 9'('L? (' T/ <br /> <br />10. Proposed haul route: \) I Q...-k>v 'd~ ~~ Lex... ~\A\~" A',e.) ~D f2.:.QQ) w~. <br /> <br />11. Method and schedule of erosion control: S" \.,. f. e.. Y\ ct e. <br /> <br />12. Restoration plan and schedule: {(del /-?>r't7f'JJ ~ ~ ; ~tI Mbu...u-j/AJdt. <br /> <br />,13. Attach a map of proposed site indicating pre and post grading contours. Affects on surrounding <br />properties, drainage patterns. Any utility lines/structures on site, fill limits. ' <br /> <br />14. Proposed vegetation removal/protection plan. <br /> <br />15. What prior approvals by Council/Planning Commission have been granted to the property? <br />8v\\~"~j fof.c'r"\\ o..'ff' ~,J ~,:),. <br />