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r�, r „..�. <br /> C a <br />,,, �u Village: Permit (y� 1642 <br /> � <br /> �: <br />���:� �Contractor � � ; <br />;;.�, � � Addres ,��� <br />� ��` <br /> � . . 17*�'{1 ' <br /> ^ Owner_ Addres ���" / A <br />��r,+;. +$h�� <br /> �C. <br />��`' State License No Village Licensc No �.4 9�, <br />�' :.r�': <br /> _ ,�,_�: <br />� Y <br /> h �."S-': <br /> r��'� t �.. z��,^,F�: <br />���;�� ` GENERAL PE�l�I�' �`;,:� <br />,�> `����<: <br /> �x '. { �'�A c <br />��'�-�' , � VILLAGE OF OROlvO ; <br /> ��� ` � ... �'����: <br /> . Crystal Bay, Minnesota �,',�:; <br /> . � � <br /> ��� ��; , q �>_�, <br /> - Dat —'�� ��' <br /> R.rt . _r .� . . �_� FyrK.,,� �;- <br /> ..i: / . 3 .*.�.` <br /> � , ��,;: <br /> Parcel Na �, <br /> 1�`�r �ction No Lot Block Subdivision � ��.k: <br /> rt •. ��lat No =�' <br /> � � � <br /> r� Other.DescripEion: � ��;�' <br /> M� w�,. <br /> j, ,�� .., r . . . . . .. r�ait: <br /> j�� - ':.m��. <br />�i�. _ ' ' . . Y�f�. <br /> �i� <br /> s.: <br /> ,-a..�.�. . .. . . . .. <br />�,fi�`r I heteby agree that, in case a pennit is granted, all work which shall be done and all materials w},icl� shall be used, shall A;�� <br />��h'� eompiy with the ��illage Code of Orono applicable thereto, and shall include all additional spec;5cations as listed below. . .�; <br /> ��' �i'i� <br />�Y, . � . . . . ' S'S. <br />¢ ! <br /> �� 'Lf S� ' �/�D v� •— /i— /`-!'- � 7 �' <br />�.:,�;,. <br /> ��,- <br /> ,'';��� <br /> ::n; <br />;�y,i . <br /> . . . - . ..d,�:; <br /> Y�L / <br /> �` ... . , ... � � � . ' . . . . <br /> `` ; dnstall plun�bing systems: Fee $ Signaturc of applic�ant } <br /> ,,,: <br /> � ;' Iastall sewage disposal systems: Fee $ <br />;��r;;Y �P°'r_ <br /> "� ' Insfiill <br />.�� ,. , . �ater s�p ly systems: Fee $ _ w <br /> u'•, R � � �a c <br /> , , 0 Siguzturo of Village �ial ' <br /> t,` L'.�L�.. Fa � (i ' ,.-.. <br /> ' Total :mount p�+id to Village..... ... $ �,V _��1 `�� �� "„ t. <br /> ,_; r = � �� <br /> � �. . <br /> �r�, <br /> t <br /> � A <br /> • � <br /> y.. 7�' y .������.�'���._"R^ rR`f'T.r-�r�yr'�'we"'.�'f p a #,�f".I�'R . ` 5 _?�$ � .,. <br /> �p"� � h�e a'i`� ra�:M,� ,ri.'w?�I�a��. :�1. `�ret ���r' �}�� �� Fi� �9,�ti�,�eg xY°��� �'� � k'��� ,�'.. <br /> �� �q'i6�y',.�°f �$�i �t 1.�� �'�� r�1�,' �,'�����§p�.+bs'����k:�,d��r � 1�,� �-�t,�y}�s. <br /> t�.,,,� �,1 / <br /> � > �i7 iF _ <br /> ^ fl! �h- � : ,� M ;i� .�s�T��"��� s� ��'y,�''�'�5-a � � m�i �� �` ��y � �� <br /> t...v:, .J� ,�, � o-?+r�'!' 3 i,;' '�^r ,� .�^..r�-.+ e.,{ye; �� }��'�;,. �� � r���. r�- '� v s��"4. ,�a'1'�`�.. �t.W!'e 'a�v i 1.�� i�` "r�s e�� :,�Y i� :�� <br /> , ::4- a,.i rr�,'�'t "� ,� �'" �r'� +} �, ,;:i„�.}j�s.r: t".,� ;�,�M '>'k �y� �n r �� r 2 .� ,�rt �-.. � ,� 4 �..�, <br /> r � �1 � � a rN�� .�tYr�` .�����t�+5 � � X6�����_�'°sY z`�.`�e' t �4��� <br /> . � .. ��. ' 3 � `.:: � � �.1 a�f��f���'�Ls'�4�.i���-�rj�3�ti�IY.- � y �. <br /> ., . . �.� , � , �x � �� . <br /> :'?�""t��!�'��"�Pwal�'�'� ��fy�t t'���'a-a� "�^�' �' v�e� �i'�` r 4'��.F",a'�Y'��a ��:�j �,� , ;'f v� �? � rxb,,3•;:aa i . ,�''r:.'k �p ��,� µs ba,. . <br /> . �an . .. � t' ��'�d ,.. . , . ,t, . � .��, -�27>�f.e�i f:1`�Xz�•.i�:��z.Z*+���ki:�+W� �,":,y. <br />