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GENERAL PERMIT <br />CITY OF ORONO <br />!• O BO V (.«. <br />( KN SI \l BA> MINM SOTA 55323 <br /><».i:»4’3-'’357 <br />rmpruM^rNo 8386 <br />Ou ner ^ <br />Cun tractor _ ^ V> hi <br />Cit> License No._______/ _______ <br />R1 MARKS and SVl C l XL COVDI I |o.\s <br />Aildresib <br />Addrr.s A^_3o0 <br />State License No. <br />PikMiinpi ANDHI iiisrw D adoiiion D repair <br />ACKNOWLEDCtMENT <br />=MI=lr==s <br />*^**"'* °* •"»«««»« *Min.d. Uui ihu iwnnil <!». <br />■ *"’' *“»»"«»» ■•» do »atk « tuttun nvummt <br />1^1 Mihociu In «iuUi* mt pro«i«on of mr Citv <br />"5 An •orti h,*" *«*—■n—r» vtiii di cit> __ <br />CO«M Mia/a* IlMitll <br />«•’•*«"« »« *• c..>diu..n. .1 <br />Signatiiroof Arplk_^.y <br />TOTAL <br />State Surchar^* <br />Total AnuHint Paid to Cil> <br />Inside Piuinhinf! laiixltm^c i 1 ec S Water Well <br />Mechanical hqiiipment <br />''a ter Meter CSi/e___1 <br />Meter# <br />Lee S___________ <br />Ftf.i S <br />Fee S <br />Remote i.Mining 1 itItng Buildings <br />Land Alteration lExcasation, <br />Grading, rilling, etc 1 <br />Munu ipal H.iter ( onneclion <br />[H( opper Iljl <br />Fee $._______Fee S <br />Municip.jl Se^er C onneition Lee X lire F<>e S□ pv( □( n SpnriLtt*r i <br />Mwa SA( { lurpe Lee % _ _____ <br />■ ’1 iiiiiwicf irirei <br />Other: <br />Fee S <br />On Stif Septic Sy vlem Lee S Xtler the-fact Insestigaliun Fee X <br />Fee i. . <br />Fee <br />Tliis pcnnii i< not valid until the proiicr fee is paid and <br />it ivapptuved by an authon/ed City Otficlal. <br />Sipatureofriiy OlTiual <br />tufc r.n.o I...,,,. ..r.y, h»k-ia.««<„p> *«w ApHk«,f,iu«ip.