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<br /> <br />CITY OF <br /> <br />~ <br /> <br />2660 Civic Center Drive. Roseville, Minnesota. 55113 <br />Phone: 651-490-2200fFax 651-490-2275 <br /> <br />APPLICATION FOR EXCA V ATION/FILL PERMIT <br /> <br /> <br /> <br />Directions: Please type or print information on permit. Submit with appropriate bends, permits from <br />other agencies (County, State, City Utilities) and information. <br /> <br /> <br />Name of Applica?t (Indiv~dl,la~artnershiP' Corporatio.. n, Association, or Pr'~\\P!k'1;~; Owner): <br />...s;:, /;/ /~~ C'~- <br /> <br />203 LITTLE CANADA ROAD <br />SUITE 280 <br />SAINT PAUL <br />MINNESOTA 55117 <br />TEL: 651-490-9266 <br />FAX: 651-490-9265 <br /> <br />1. <br /> <br />2. <br /> <br />J <br /> <br /> <br />BRIAN R. DOBIE, P.E. <br />PRESIDENT <br /> <br />5. <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 />O~~@If{IP@It<A\'iJ'[g1ID <br />/PROFESSIONAL ENGINEERING <br />CONSULTANTS INCORPORATED <br /> <br />6. <br /> <br />/a:/-. <br /> <br />/ ~~/~ ,/~//4 <br />/' <br /> <br />7. <br /> <br />Us'/' <br /> <br />/R7'J.4!4 <br /> <br />15. What prior approvals by CouncilJPlanning Commission have been granted to the property? <br /> <br />~j').~t/'~~ $~' dv-<~~} <br />1/ / <br /> <br />Estimated time of work to complete: ) ~",,,,,/.1 Start DateIFinish Date: 7 <br /> <br />,~ ./l~ j{~ d ~ ./7/~ <br />-;:/J ~<"(1) <br />fr/'. .cL j <br />// 17 - <br /> <br />"",r.--./_/ 1.5 <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 />Business Name: <br /> <br />. <br /> <br />3. <br /> <br />Business Address: <br /> <br />I <br />i <br />i <br />I <br /> <br />4. <br /> <br />h/;;L <br /> <br />'7'6~ / <br /> <br />Phone: <br /> <br />770 <br /> <br />Legal description and/or address of property: <br /> <br />Purpose of removal/fill: <br /> <br />8. <br /> <br />9. <br /> <br />Amount of material to be moved on the site and/or amount to be removed from the site: <br /> <br />YAF~ <br />/ <br />J2~ <br /> <br />~iV <br /> <br />10. <br /> <br />Proposed haul route: <br /> <br />11. <br /> <br />Method and schedule of erosion control: <br /> <br />12. <br /> <br />Restoration plan and schedule: <br /> <br />c;5 <br /> <br />13. <br /> <br />14. Proposed vegetation removaVprotection plan. <br />