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^1 • <br />m <br />‘k<r" <br />rM <br />.■>" <br />;/ <br />Village Permit NS 2062 <br />•■^ i <br />Contractor. <br />Owner. <br />j>ptrATL fi __ <br />JJ’ tO' iS><f nrejf' <br />■ L < <br />Address./xAju • ;v <br />Address___SSjJkZ—ALtAO f) hT' tf <br />. *- ■ . .. ■" <br />State License No._ Village License No, <br />iT' , <br />■V , .#V <br />«5S’-'GENERAL PERMIT <br />!>» - <br />.*■ y ■ r' ■ <br />,Via''JrAV^:-eV <br />k' <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />, .i . ‘ <br />tv '».L ' <br />Date_ ^ ^ ^ <br />Section No. <br />Piircel No. <br />Plat No_ <br />Lot Block.Subdivision.-J7: ■■■*iwb-fcju" <br />. -f <br />Otlier Description:rr. <br />>*. <br />■'••y <br />••■ -J <br />•t <br />I hei^ a^ee that in case a permit is granted, all work which shall be done and all materials which shall nc^irl «h«n <br />comply -U. the Vdhge Cod. ol Orono applimble Ihemto. .„d shall include all adlrnauXt:;:™: <br />'■TV ■ <br />4Lo- <br />i • <br />1 ':,v <br />A <br />-'■'.■"■ y^........................- <br />W:A:i <br />,.;v <br />w: <br />Install thumbing systems: <br />Install <br />. sewage disposal systems: <br />Keptif <br />. water stfpply .systems:Bcpair <br />Fee $. <br />Fee % <br />Fee $_Zi!lliLjQ <br />Fees. <br />Fotal amount paid to V illagc........... %Jjh O O <br />ji?.ai.1 >■ <br />Sigiiatuic of applicant m <br />Signature of XTllage Official! <br />^fhh ' <br />1