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Village Permit N� 947 <br /> � ?t— ,./. � _ �,_._ �__..� �-� ,� <br /> Contractor -�� � _ _ Address ,--w» �,�,- r"�� <br /> �'/J - f'� � 1 , ; <br /> Owner � '-�% _ Address ' % -'� ��- --.�� ' '` <br /> � <br /> �.., � � . — -�-i�-T,� <br /> State License No. _ Vill e Licens No. �1/ � <br /> "�� 7 C' � - J it-.�'_�.�-- ��1., <br /> GENERAL PERMIT <br /> VILLAGE OF ORONO <br /> Crystal Bay, Minnesota <br /> � / f _._ <br /> Date—_-f--� ''-- ';�-,��� `� _ <br /> Parcel No..�--" Lot—�?j Bloc � � <br /> Section No.�-- k_�_ Subdivision� � ��-1' �'�'�1'�""��-� <br /> Plat No. ' � <br /> Other Description: <br /> I hereby agree that, in case a permi , � ll materials which shall Ue used, shall <br /> comply with the Village Code of ( -`•- -�i I�� �/t , �ditional specifications as listed below. <br /> _J ,� <br /> ; ��'�-- ,c.�.� �t�-,�v� � �� �,; ,r. <br /> ; 1 �j� � <br /> i, ' L,,�,�� �`,-c-�-- , <br /> �� � �,,�.r",.2,�N`► '�� i'��:1�- <br /> ,�i�dw� �'r O!/�N� �� <br /> �� •T• SCkFoc�i"'V � t���b� <br /> � � s�-� ���� � ��� <br /> �° w� � ��. <br /> 1�_ r ..� :.�(..Z,l C.,. <br /> Install plumbing systems: Fee $— _ Signature of applicant <br /> Install <br /> sewage disposal systems: Fee $ <br /> Repair -- — <br /> �?�a4 � <br /> �water supply systems: Fee ��`"�`� _ <br /> Repair <br /> Ii�ee $—_ Signature of Village Official <br /> , -__�__~- <br /> ;. . , j __ �,. <br /> 1'otal amount paid to Village. . . .. . . $ `" � � � <br /> � r � �_ .i .4 ,� <br /> 1 <br />