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1965-914 - general permit
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3540 North Shore Drive - 08-117-23-43-0011
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1965-914 - general permit
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Last modified
8/22/2023 5:47:45 PM
Creation date
11/28/2017 10:49:11 AM
Metadata
Fields
Template:
x Address Old
House Number
3540
Street Name
North Shore
Street Type
Drive
Address
3540 North Shore Dr
Document Type
Permits/Inspections
PIN
0811723430011
Supplemental fields
ProcessedPID
Updated
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. .. . . . . �- _ .� . . . .. . .... .. ... . ... �:��..::L"1'lYi.. <br /> . � <br /> ' Village Permit N� 914 <br /> , �- � / <br /> r � ^�. <br /> Contractor , �-� �l..s�+�— Address -'�-� ��. i% <br /> \ � J�� �b`v.�-'-�, ��- '� r `\� � ~�� <br /> Owner ��'•^�—t-� � Address�� a'� . <br /> r �f _, _ , ;. <br /> State I,icense No ��il]age Licensc No°� �� � � � , <br /> . d `' <br /> � .,(� �,f' �c,.-ti.� <br /> ?��a ��7�1'i/� "I�""'-c�'` . <br /> 1 <br /> GENERAL �'ERIVI�T i�� . <br /> VILLAG£ OF ORONO "' <br /> � <br /> Crystal Bay, 1�linnesota <br /> � <br /> �ar������s �� <br /> r' Parcel T'u.—___ r, � � � � <br /> Section No.—� Lo� Blocl:_y-- Subdivision-�� ..�c� !�� � <br /> Plat No <br /> Other Description: ;� <br /> ;; <br /> � <br /> � <br /> � <br /> I hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be used, shall ,;, <br /> comply with the Villaga Code oE Orono applicable thereto, and shall include all additional specifications as listed below. , ; <br /> '� <br /> - �:� <br /> ti.4 <br /> yf: <br /> ..� <br /> � t <br /> 4 <br /> w� <br /> � <br /> 4{� <br /> 'i.,� <br /> lnsta:l plumbing systcros: Fce S Signaturc of applicant �'��,� <br /> � <br /> Install �=� <br /> sewaga disposal systems: Fee S � <br /> Repair — ��'.' <br /> Install �ter su 1 s tems: Pee S <br /> Repair pP y � <br /> �!1 � i / N'ee $—� Signature of Village Ofbaal <br /> j i .r����� �T w� � . � �,.� <br /> 1'otal auiount �raid to Village....... 5�-- ��,�'-'-r-�-t- a-��L'�2iYt ,°� <br /> � <br /> ; � <br /> ; <br /> 3 � ^ � <br /> S <br /> . � ' . . . ' , . . `�)fA <br />
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