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HomeMy WebLinkAbout1973-3841 - general permit �. :��5� �� ;t��yd. �7 ..."!i�•�'��°J,'.�� ...' l.; � .. .t�.a.1+ ...••^F7.�J�._x.{�fi:.•'t,.nr• •'r' . ,,.it`..a;�:i�nv`�.tr.�� ..�M.s:::�••+�' �tjvil'f�4h>tt . �'u.. ..l�t2� ( . Village Permit = - � ��4�- l? � � � c �f/) � Contractor����� ��/�'�� Address �'�r� ' '�'� - � , / � ���t��n � Address- I � n�7 /^ � V'� �� . Owner Statc Licensc No. Village License No GE1"�tERAL PERMIT - �VILLAGE OF ORONO Crystal Bay, Minnesota �te /�- — � --�� Parcel No. Secdon No Lor Bloc� Subdivision Plat No..—: �;.' ;�,'�: Other Description: a,¢,µ ' :ti a t' -�. • ,�, ..� +�` I hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be used, shall ,;,, : v` comply with the Village Code of Orono applicable thereto, and shal] include all additiona] specifirations as listed below ; Water Meter: Fee S • Sewer Hookup: Fee S +,� � Install Plumbing Systems: Fee S_ ,�•;� Signature of applirant Install Sewage DisNosal Systems: Fee 3 Install Water Hookup: Fee S - .;ti',;. / '�� install Water Supply Systems: Fee$ r � � � � �� ��`. , InstaU Sewer Hookup: Fee 5 h, ,� Signature of Village O�cial ;�.' Fee 5 �� �,1.�, / ' ; State Surtax: j � ' �� : J� �/1� ��' ';� . Gl d'l h�� ��-� Total Amount Paid tu Village. .......... Fee$ ��:: =ts'� :;; .s _,_...,..�.. r..r..-. -