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A. <br />' i <br />• * <br />F REQUEST <br />^r:-. 0: <br />itibhal Use <br />ance <br />ands Variance <br />•ap <br />fficial use only <br />uncil Action <br />onditional Use Peimit <br />r. ^ /L <br />lIa <br />List of <br />ft.ft ,;u <br />^4 C.' ' <br />if <br />LICENSE APPLICATION <br />VILLAGE OF ORONO <br />Crystal Bay, Minn. 55323 <br />L <TT) <br />473-7357 <br />All questions must he ynswtrccl. License fee and bonds must accompany this application. All applications arc <br />subject to a ten (10) day apptosal period. <br />1. Business or Tr.idc Name 77/^ J h £'r Q ??/ //.; ^v- ;<^ k < n C c S J- K ' <br />2. Business Addrcss___£L£^Z' 4 ;7- / A i' '/ ' < ' <br />7 Business Phon e / -> ~_ Residence Phone. <br />/ / <br />/"■ V. {- <br />4. Name of Applicant hnldin:; State Lkense <br />5. Type of License held___- State Number <br />n/ <br />IIa”e you ever licld a license in this \’illagc before? 7.Cl'____________.Most recent )car.i________ _____ <br />Kind of L.cen.se^^^^„____^^ ----------------------------Village License Number:_________r L-y. »zrz <br />Have you ever had a licen>c revoked?____ <br />j f 'L 7 rj' / . / <br />___ \\^len?______________ <br />> y" * y A r <br />WHicre?___ <br />•. • -f A ^ A <br />lire undersigned hereby makes application to the Village of Orono, Hennepin Countv, Minnesota, for license for <br />hcenses) as indicated below, subject to the laws of the Stale of Minnesota and the Ordinances of .said Village. <br />APPLICANT Check kind of license applied fot and indicate amount of money enelosed for each license <br />Kind of License Fee Bond Required Insurance Required <br />Due April 1, Annually <br />Plumber (only).........'.................................... None <br />(OR) ■ <br />Plumber and Sewer Hook-up.................................. None <br />Well Driller............................................................... $10.00 <br />— Sewage Disjxusal Installation ........ <br />K^HhO>/ <br />$10.00 <br />$2,000.00 <br />$5,000.00 <br />$2,000.00 <br />$2,000.00 <br />25-50-$100,i <br />25-50-$100, <br />50-100-$300.i <br />10^, <br />Please indicate in the following sp.ee any persons other than the licensee who are authorized by you to apply for <br />permits under the applicant's license;fci:. A.: <br />^iCriAf^A n^r.. <br />Approved:Denied;, <br />DATE OF ACnON; <br />----- Date of Application <br />■ ■ _________________I__________________________________________ <br />^ 'r. /Oy~7 <br />1-9 <br />Signature of Applicant <br />r-t <br />■# - <br />f <br />mMV' <br />v7#' <br />■7"' ■ <br />m. <br />VMC5M <br />V500^ <br />NAME <br />n£Eia:i'nQ2. <br />,iOVcrNEsT\L.\-£ <br />k\o\WcL.V^ <br />iHa».'co\A <br />...