Laserfiche WebLink
Village Permit 1S 6 9 <br />Conhractor <br />Owner I <br />ArlHriKt /^.-f <br />Addres <br />r V <br />> <br />State License No.Village License No,.: <br />•-i. <br />•». <br />U,r. • t <br />W^-:- <br />■ V <br />T>. li,GENERAL PERMIT V <br />t <br />''K •' ^, ■ <br />■* 4i*. ' ■'“V ; . .■«,''4ifc ■ ^'y-4 . •'■•< <br />% <br />VILLAGE OF ORON <br />Cfystat Bay, Minnesota <br />y'-:4. <br />y <br />j 2 J. <br />Section No. <br />Pilled No. <br />Plat No- <br />Lot Block.Subdivision <br />Other Description: <br />I heid^ Agree that, in case a permit is granted, all work which sliall be done and all materials wliich sliall be used, shall <br />comply with the N'illagc Code of Oroiio api^icable theretOa and shall include all additional specifications as listed below. <br />B-l. <br />______ ^/i (A - /C'3o~Ay <br />a <br />iv <br />^f:T <br />Fec$. <br />Fee %-jL <br />Signature of applicant <br />Install <br />Repair water supply spterns: Fee $. <br />Signature of ^ ilUge O&lmIFee I. <br />Total anioinit paid to \ iljag^........... %jLi^iiH^ialll|fba^‘^C|pl.wai^^