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� °'. ' �" ,��J���;�Z=3S�iI J.� R�'� R�vTi"� �l � S y= <br /> ; „ T :.:- . � :� z - <br /> � ='_ _ =��33�`��3I .t'�t;�;L�7 �����?�Y�l"�Y������ ' ` `` � <br /> � 5/8"M�TER- � 3!4`�METGR- ❑ 1" M[=T�R- <br /> Q�Si8"HORN - ❑ 3/4"HORN - ❑ 1"HORN - <br /> � "WATER METER (TIiF,SE WILL HAVE TO BE SPECiAL ORDF,RF,D&PRTCF,S DETF,RMINE,D) <br /> t. METLR F�E: $ <br /> 2_ HORN FEE $ <br /> 3. TOTAL PER14i[T FEE(Add Lines i-?Abovej � �Zy'•lQ� <br /> :_•`� u„-"`:; ..Y':�`C�TY=�3SE'�N�.Y��` <br /> * F<3i�UT£.,Tlt �i t�iiib 2efer ta Curr�nt Y�ar- F�Jater NiCtCi Pi'iCii����t�i '� <br /> BRANI�: <br /> SIZE: �8" ❑3'4" ❑ 1" ❑Other " <br /> SERIAL#: ����0 / �p�— <br /> EKT HiG[t�: I ��""I I / / � -1 ��,' (if applicabie} Illllill��IIIII11111!!;I111 <br /> 154�j771420 <br /> ���`-�������.���_�I�������`�.��+@���������..�:������,;���� <br /> The undersigned hereby applies to the Cily of Orono for issuance of a�trater meter pemtit, agrees <br /> to do all work in strict accordance with tfie ordinances of the Cify and the regulations of the State <br /> of Minnesota,and certifies that ali statements made on this application are, true and correct. <br /> Applicant: �Q(�(��� ��,�,V�, Date: �- 3�• ZQ�� <br /> T <br /> - t -�, �..,. _ <br /> �3'�il '"�� �"cy Y +`t �. <br /> e _' �#.'$��.�t31�tl1*'a�'k _ <br /> t,_._J�=_ <br /> Original: 1-.4ddress File <br /> ?vfuke Copies Fvr: 1- L•`tiiitti Bi/ling Departmenl F-Cvsh fJrcnver <br />