|
jy. ,�,.�:..vpt,it•vyj tii• ,....y.. .,e,t,y.n�+t„� vslM�.��..�, w�. :� ` . . .. i" ' - �-.iC'.r.. ..�f. .r�' J.d�.�'�.. - "^'er. ���v�!'...#'n,
<br /> a �•� �r.�
<br /> t' -'
<br /> ��. ��
<br /> �r (
<br /> � Yllage Permit i :`? 28�9 �
<br /> �..
<br /> ..,
<br /> Yµ• �U 1 � (�/� .
<br /> � �'.��; �, � �, ,� �
<br /> Contractor � �'-'f'� ��`�� � Address �t�-�'�`�-Q-�
<br /> `. �MI`V .s
<br /> . �` r— �
<br /> � ��� �
<br /> -�-. `Owner__J�� ' r f ' ' Address r_ .
<br /> k , �, � �
<br /> ;� , , � �.
<br /> �� Villa e License No ���-
<br /> � State License No. g ,{r
<br /> � � ;
<br /> '��, " --:��
<br /> ;�;. , ,.;
<br /> �4 .
<br /> �� ��'l�d���i.� �.�,�l�il'T ���
<br /> � w
<br /> :�;. :.,
<br /> ��. � . �IILLAGE OF ORU1`TO
<br /> �� ;': Crysta] Bay, Minncsora �
<br /> f � /; -� $
<br /> Gi,.�� �.�f`! !
<br /> �
<br /> ; DatP �:�
<br /> :�� � : Parccl No.-- ^
<br /> �� Section:No Lot Block Subdivision -- -
<br /> ;�= r °
<br /> � 5 , Piat No �
<br /> ��+�, `��- : ' :' • .. -+1�
<br /> �k �Otl�er Description: , =
<br /> �
<br /> �a . ' . . �
<br /> '�y�.� { ,;�
<br /> �u
<br /> 4*��e��T .
<br /> � `
<br /> � -;��I hereby a�ec that, in case a pNrmit is granted, all work which shall be done and all matcrials which shal; be used, shall �
<br /> ��' acomply with the ,�iilage Code of Orono applicable thcreto, and shall include all additiona] specifiratiou, as li�ted below `�''
<br /> �w � .
<br /> ;- - � ���,,.Y �'.� $3'n
<br /> j" . :
<br /> a -,I,
<br /> .�i''n �. ,. - � �
<br /> i.R"��r.-�:�- � ' . :.^.1
<br /> .r� _ /• �� � �
<br /> � T ��
<br /> .'!r�.�' l�` � . �^ �'}1� .. t`..
<br /> ��5....< L�C., ���c .�
<br /> � x>,z L r �.
<br /> ._ �� � � �
<br /> ,�t���, _ ._ —
<br /> ' � � � '.. ���5^ ��'0`�
<br /> s-
<br /> �::::.
<br /> ;�.
<br /> J�� . , �
<br /> �
<br /> 5: .
<br /> � � . �� . �.�. . .. � :
<br /> �'*' y �� Si ature of.a l�cant � �
<br /> r '_Install plumbing systems: Fce S � PP
<br /> �,�,y :Install : . •
<br /> � � sewage disposal systems: Fee $
<br /> ��` ,:,RE�air
<br /> 'r � ' :Install � ` � . .
<br /> ;� � � ; water supply systenls: Fee �_� l.
<br /> � � 1 Rep�'�.��-�-, h��,� S�io ature of �illage ial �
<br /> �' =__1,J��-�-[�f— Fee $----�=� ' �'��'"` //1
<br /> t, "�• � "' -Villa�c....... $ �": r-�Qt �/ �� G �f `� ;
<br /> : � ' + Total amount.rpaid�-io� o -"—' .- - . ,
<br /> � r �� ;( _ � J �rF� '--� ,.�
<br /> �� t� �:,� �� �.� ��'�p �uL 9, a � . .
<br /> � s- - � � -------- __ _ _. .
<br /> , . . .
<br /> _ .
<br /> ,�
<br /> �-,. . _. .. _ . . . , ....� �. .�:�.".:'., .,-"' .,y"- ,-�_' . . �t. -_'r
<br /> - - Y S••T t
<br /> �x.
<br />
|