|
;��� ��'.^ ,�� 'r� "�r�y'� ��r �y'�i� � �, :'�i ,�� }`sx� � �IL�,� t� �S �°x �,"' �`w ` '� � � 'i r,� i y'§ r'�
<br /> �'��P'���`., e >�d+ +'.x w� �� r`�H�`k'� a �� i !�r �t#aA `�.3�•.}- �' i '�µt k �r � ^t-xf
<br /> 'S Yr. '�� t E +� <. 7t�`h.ls'F' F '�t'�k z.
<br /> . .a . r '�y f F `�.k r�`a r 'Lx„-a� d,�'� F�Qy ,� � �"'�-�s iyd�g��t � r�` �:
<br /> �'., a 3��, •� � �� � a s �, ty �,�.';�, r w a x k s �� >�� ,.a F
<br /> {�� 1 ��V i _ �� tn.�„Ug�:'�: 's .��`r�„��,� f+�d,�.�,.'S ��T `'-�.•-�:ty �u � '' v,�A" 0. t� �' '�' � .' � .
<br /> �� , .. � i �f g�'i �', .T�+�`t '�a"�',{��,�'�ks'°�7'� s� ��* 'y'. � �r '� ,•b«4„ ' �� k
<br /> F'-r�' ��:��..x�.... 1 :,��, w': . '. . ��� . �. 4 �{'E. R'- a� �^ :d �" 4 �� ''�. �'�� '� �{lr��`�"�.:i�1a. `�5 i �
<br />, . . ✓^r,Y'•h4i�1�t'5..��r,- .F�hir�+ L.-.1:;,��'y�{'tk���'I*"-..�.�TLw.-Y.*`"1,.'[Zf' r= t��t`f'.I:1'4!�"_�i+.,,• ��' , s� .
<br /> .� �
<br /> , =::�s.
<br /> � . . . „�:
<br />�> _ . _. �816 ��.
<br /> �ilage Permit •-• �
<br />`���� _
<br />�:,
<br /> x:' ��e,
<br /> �„�
<br /> ,�; � �:
<br />' . Conhactor /��d Yy1,(n� �� 7 .
<br /> Addresc
<br /> k��' � �7 / /,
<br /> 4� Owner �x � � Aadras_ � / �� , O�.¢-t9—( /e..�., �J�
<br /> �/�o�o_iPoo t�avz��4
<br /> ' Statc License No. Village License No �
<br /> rf�
<br /> 4 :'.
<br /> �;, i
<br /> � GE1I�ERAI. PERMIT L
<br />�x
<br /> ` 'VILLAGE OF Q►RONO .�;;.
<br /> t,.�'
<br />,�x': Crystal Bay, Minnesota � �
<br /> w�
<br /> �te ��—/2-- � � ;�'
<br /> `�, �4�.
<br /> " Parcel No.
<br /> r� �
<br /> � .
<br /> �.; Section No Lot Blork Subdivision �
<br />��. �,:
<br /> w:> Plat No
<br /> <
<br />�- Other Description: ";
<br />�,, .+'��-
<br /> .
<br />,�D., . , '°•��`rs�
<br /> ,t. I. . , yr'�ey�n.
<br />�:1,. . .4','T_�-:
<br /> `*,
<br />` ' I hereby agree that, in case a pecmit is granted, all work which shall Le done and all materials which shall be used. sh�ll � ;
<br /> .T,.k {
<br /> 4�'�� comply with the Village Code of Orono applicable thereto, and shall include all additional specilirallons as listed belaw. ���
<br /> x,
<br />,� ,`-��� �'? "�_
<br /> r � . ��-g � � 1 �� y� ��
<br />�;;
<br /> ���.
<br />��,, ���
<br />� ��
<br /> ah� �;x
<br /> . , t.:
<br />"a�': . , , £:�
<br /> a .
<br /> �
<br /> ;" � p ��� ..
<br /> x�" : Water Meter: Fee S�,Z,7 ' r b ' . ',,
<br />:.y
<br />!:�;".` Sewer Hookup: Fee S t�'
<br />,�;;
<br />"u,.
<br />�k>�, Install Plumbing Systems: Fee S
<br />�.:,,.
<br />`�'¢ Install Sewage Disposal Systems: Fee S Signature of applicant
<br />?��.
<br />'r;
<br />?at; . Install Water Hookup: Fee S � . � �
<br />;�+
<br /><,y�'.
<br />�:;. lnstall Water Supply Systems: Fee S
<br /> ,.`:..
<br /># �,; Install Sewer Hookup: Fee S °
<br />, � , Signature of Village O��cial -
<br /> State Surtax: Fee 3 �� ,;'�
<br /> , ` ' :.
<br />; �L- �-- -�-%,�€� i��c l��---- :
<br /> T�.al Amount Paid to Village........ ... Fee S—�/���, �' ,;,
<br /> �
<br /> � � �`
<br /> ,� � ��"
<br /> :i ;.,s °{��t� � �j6�- `�` { `i�� t ���di ti j 5'� a r� d��� I I �,�:.
<br /> � � r`.; ��r 5xgn � .�s ;a. i ...; F ,�,yR, t;p; � � .��R„ ,r „r,��
<br /> . . � . . � . . . . . . ' ,* .
<br /> a:" ���t+y,°`4;�,�' t''„��'�' ,�,�' ":9t p -r"�St�� ��i;;a�a� .aT*oY !�t+t , ^"«7 F ' 3r4 .t,;' r �.g� J y
<br /> . , . �e� _ .. . b � � �- , . _�r�z�+ .a t;i � ..i�. ,�r... . _ ._ n„ 3, .>. , v. . ,..� , ... .. .,.
<br />
|