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1 <br />Viagt Permit N? _ 4165 <br />ContnclDC <br />Owner. <br />Slate Lwene No. <br />/L. <br />AddfCSL <br />AddfCK.A// /?A <br />Villife Lieeme No. <br />' <br />..•« ^ t • / - ,GENERAL PERMIT <br />VILLAGE OP OBOIIO <br />Oyilil Boy, Minneiola <br />■*s <br />•• ■ ■ ■' <br />>■. : ■ * <br />a <br />Section No. <br />Piled No. <br />Plat No— <br />BI ocIl Snbdhriiioa. <br />.i <br />Other Deyription;\ ■ <br />^.,'7 <br />< <br />I hereby a|rae that; in cate a permit is gnntei all work which thdl be done and aB nwlcrkb idiich didl he mei shafl <br />comply with the ViHepe Code of Orono appIkaUe tiierelo; and shaB indnde aB additiond as lilted bdow. <br />c C <br />LP- <br />Water Meter:Fees <br />Sewer Hookup:Fees <br />bntall nunbkii Sytteim:Fees <br />lustan Sewaee Diipoial Systems:Fees <br />iMlaU Water Hookup:Fees <br />Install Water Supply Systems:Fees. <br />Install Sewer Hookup:Fees <br />Slate Surtax:Fees <br />Total Amount Paid to Villaie...............Fees. <br />4 <br />Signatme of applicant <br />■. ■ ■ ■ '• <br />' 'j. ■ ' <br />Signtine <A^^■iCe^OBcU