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<br />. <br /> <br />CITY OF <br /> <br />~ <br /> <br />X2cd.. 07jci7/Qq <br />d){>LL\"' <br /> <br />2660 Civic Center Drive. Roseville, Minnesota. 55113 <br />Phone: 651-490~2200IFax 651-490-2275 <br /> <br />~ <br /> <br />f~ \( <br /> <br />APPLICATION FOR EXCA VA TION/FILL PERMIT <br /> <br />~' <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 />2. <br /> <br />3. <br /> <br />4. <br /> <br />5. <br /> <br />. <br /> <br />6. <br /> <br />7. <br /> <br />8. <br /> <br />9. <br /> <br /> 10. <br /> 11. <br /> 12. <br /> 13. <br /> 14. <br />e 15. <br /> <br />1. Name of Applicant (Individual, Partnership, Corporation, Association, or Property Owner): <br />'IY'\t\o"",wlf' t)GS'~N : <br /> <br />G?A-'/t c~ Cr>. I (hI! 4eJ,:\;c, ~ 0 <br />, )) <br />Business Address: 22~'S"C' A('C'i'~\ 1 I2J- ~rc:,c.L-],L( ell L\. <br />/ <br />L ~( A~;' -, '/ I', '--, <br />Phone: - .-) - >"-\- z: . -> - Co. (,(" / <br /> <br />Business Name: <br /> <br />,~ <br /> <br />/ <br />/1 <br /> <br />Type of Permit: <br />'~ Removing, excavating, or material storage <br />_Filling or raising existing surface grades <br />_Subdivision grading prior to final plat approval <br /> <br />Legal description and/or address of property: La\- l . S C2.. c..q2 T . ~9 J ~,~ 3 <br />V~C:\bt':c... s~. {117S- (,I(t-fo~rlCt. ') <br />Purpose €~ll: \"c>D ~"c.. ~ 51:)\\. N Q.w \~~ ~~ Co", S 1-f v c..1 ~o., <br /> <br />Estimated time of work to complete: /'0 c:\ ,'t- Start Date/Fillish Date: <br />~---' <br />Amount of material to be moved on the site and/or amount to b~J~~from the site:~ Co .;1 <br />? -r .A C ".....". o!........ ::;-,r-.r. (' ( <br />c' c;;, ---'1' '-::r t. l. - ~-)'- t t. t <br /> <br />Proposed haul route: <br /> <br /> <br />.-. J' , <br />..: 1 Q. 1C:' \.. I ~', r, <br /> <br />Method and schedule of erosion control: S" \.,. f- e.. Y\ (!. e. <br /> <br />Restoration plan and schedule: ..-"it! /-b l"",,'lJ IJt:d ~ i tt,{lt! rzl! ~ i UJtl!t. <br /> <br />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 />Proposed vegetation removal/protection plan. <br /> <br />What prior approvals by Council/Planning Commission have been granted to the property? <br />Bv"\~',,,~ f..c ""'.-\ o..f~1 ~qJ ~~,. <br />