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HomeMy WebLinkAbout1972-3082 - general permit '�. , � � -�. .. _.,�.. . �,. w. .. _ . .,• . .. . , -, . ., . . a ...ar . , aa�-�, . . "�.._ .. ,–.n. �:e,r�,. .�..y.. . ,... , ,4�.�ryrs�+t„ ,.,� , :1� , � • i��. `� :'t,,. ���' ��4: �Ila • �., 3 G - � 9e Permit t ,.. $Z � ��w � - , �,� '' Contractor_ �J 6_-Z/4a-u/ � �� � , , �, C.-t�y-� .,, Addresc tU�t_-1 � � i _ .- . If / � �WI1Ci_ �`� l/ttiyti/ ���/)Cr' �i� � 'fi � . � �.. �/ ` -------- Address- � 90� i ,N.c--r�S-��f--a.�_s� /�- , � ,: �" ' � State License No Village Li � �� cense No _ 'i GENERAL PE �. RIVIIT � �. VIL�,AGE OF ORONO �..' , � _ Crystal Bay, Minnesota �'*��, � � ti , V Dat�—� - Z� �Y ' ,�' . Parcel No '� � _ \ `" ' , . Section No . w � . ��--- Block Subdivision �- Plat No � � ;r; ,dw�, 'Ofher'Description: . . ' , � � r. - .. Y �` . . ! �_ . :.t., ���a ��� 'l�f� - (' /r r� C tiJ` . � ! i ' . ` . � F t i! � /,t f �'� }I hereby agree that, in case a rmit is ' ` ;,�� rr ` �` "' � pe granted, all work which shail be'done anc} all materials which shall be ` a��`.� ��`��com with the Vil usocl, shaD . �. �� P�Y lage Code of Orono applicable tnereto, and shall include al� additional s � ~ ��� �.* " . _, � pecifications as list�ed Y `�' , � �, L ,, beloR' � R a l ,, �' �! (O� �-v 3 =' y .�' - '�y '� � � 4 ^: r t �: �,� . , � ,-�/ j�o -� � i��°�-�'�K . .� � �r� ,� , . �:~.'�.s • �i� � , t � . . —• , . •� , jt N•�� - . � 7 1^ "i � `Jh ��r �' }' �: . 4' j �� Install plumbing systems: F� g__ � �. ,:�_ Signatare of appliqnt � +�W ,�,. . Install .. ,. s; �: �Itepair �Be . Fee $ ��. O ?t �r �t�',; �^ Install `1�c,_ -;c`;� �� - _lr water s�P'P�Y-��3�� Fee ���! �7 �. / i''.V �,,� . '� ,;.} :f Repa. .� � ���9 � �"�„�� �." — •��.`L" ' Fee g�. 7 �gnature of Village O�cial �r � C � .� ,-• Total amonnt paid to Village....... � -� /� n ;��;;1'1 � �% �� , ` 2 Ci-� ;�/ ��L�'�� � :� � .�g• 7�t� ,C`w � � y �y �. '� , . �< -- ---- , ,,.�r� �' . ,- . __ . ,�� • 7 �