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STATE OF MINNESOTA <br />COUNTY OF HENNEPIN <br />APPLICATION FOR GRADING PERMIT <br />To the City Council of the City of Maple Grove in Said County and State: <br />The undersigned hereby applies for a Permit to grade for the purpose of <br />( grading /excavating /stockpiling) in the City of Maple Grove in said County and State for the term <br />of months from the date hereof, subject to the laws of Minnesota and the Ordinances of <br />said City; and herewith tenders $ as the Permit Fee therefore. <br />See attached fee schedule. <br />APPLICANT and /or COMPANY <br />Address <br />Contact Name Phone No. <br />Location of the Grading <br />Purpose of the Grading <br />Cubic Yards of Material to be Graded (sum of cut and fill) <br />Acres of Area to be Graded <br />INFORMATION FOR APPLICANT: <br />Applicant shall submit plans indicating the existing and proposed elevations of the site as well as <br />the source and disposal areas of borrow or fill. <br />Sureties in the amount of $ required.* <br />* Amount and type of sureties to be determined by the City of Maple Grove upon the completion <br />of the review of the application. Sureties shall be submitted prior to issuance of a grading permit. <br />DATED 20_ Signature of Applicant: <br />For fee information, <br />see: http: / /www.ci. maple- grove,mn,us /content /229/479/2644.aspx <br />