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HomeMy WebLinkAbout1967-1622 - general permit � �� z ` � " � �^ � � . � � a,5,' s . �' S u P �;p 6'��5+h �.'�� ��A'S'y,�� .�'i�Vl'"1,� �� ��� 4 "r �'� y�-�.'�'br ' � z S.� ` * j��� �s' � �`��°rc,'... Y �4�a4r �-•p... � • ,� . . " x pA� �.. �, ... �i��; �y��� �.4 C�,cn.. ,����+y ' EyE."� �'C y t'�`' , .� � `� ,,�-�k. . ��-., y� ,9 �` 4f.f{� �� �i� v� � � � �y���� � °�� s ���z ��� �`tS. n ' s .{ :t ,Po nFs y,v�a�x.� 4y���'�� ���,,,.���� �� c�" z�Y � �� �..1 �� f'+ y'�. ; �����`.�F"5 �R'7��,,�a,'.���s .�.`;�:. � tlu�a�i�'� �f.^a �T-'°.�,�' ns "�+�,� ""S'��:�¢F'�` yc�'�,,, �,�.. Yc� )�.��� ,.tY i"��,iY„ � a �(. � n',� � � .+ �'') } .}� �'" �.. .<<' ��, 5�� d ;���$ .i� _�7�R�����r� �' � �+ ,e: �`y s#w i3�.'�'l�+�YA`�.f�"�'L�"�-r,.@�:__ ....R �` n — 4l,[.a�,'dr��� 'r' ,.nsa �'� „��',� �1 S �a+yf'�.i. �� �fi,,". a.. :��5`= Village Pernnit Nq 1622 Contractor ��r1 � Address � ' Owner L-��� /� � C � �-"'r.f rf f� E� r Addres � � � � Statc Liccnse No Vi]]age Licensc No GENERAL PE1�.MIT "� ILLAGE OF ORONO Crystal Bay, Minnesota 5��* Dat ` ���L � Parcd No. Section No Lot Blocti Subdivision ;� � � Plat No � �� n ;,,' Other Dcscripdon: ° "�� ;.�, .� 5 '� . _ . y ,. . +y' � � - - ... .. '� . � ' . . . . � � ; . . . `�;. �� . . . . . . . . . . r,:;T Z� . . . . . . . . . . , � I he�eeby agree that, in rase a pennit u granted, all tivork which shall be done and all materials which shali be uud, shall �-� com�eFy with the Villagc Code of Orono applicable tt�ereto, and sha11 include all additional specifirations as listed belaw. �%: . � � - - _ „, ;: x.'� ��� �r°: .. . , � .. .. - .tii�� . . � .. � ..�. Install plumbing systems: Fee $ Signaturc of applicant A�- Install` . ^ . �lI sewage disposal systen�s: Fee � ' �� , . ��°�� �� ,��. � �- � Install � s Pjy systems: re� � _ e � � r Signaturc�oE Villabe O� ial h���' � Fx ��, ��- � .. �:�.. ''�'�'�yN Total amount paid to �'illzge........ 5--- a a�� q:l..�y .... . . , . . . .Y`d"e�.Y2,... . . � � . . � i ,�!�*n�� �! , - � . � � . . . . . . .� � . •y P ;i���.T+^++'^'�m+A �:a Tt „3[ ;. , y i'"S a s a�E ; � r, .� a � r , ' '� � , y� � '' ; �E� :'_�., ,i�F b . h��i-�'�:�� ,`"r•�•.. m�iT, , ti„�.eif ` ,� ,"?±,ri.� -� aFyll i yltr�K F �;;,; Fr�"" .1�� {� � ?� �w a, , � ,,. , „ X �x� . ., ,� , �' � � .. , , . . ., . �..f '�'.' h . . � . . _ . .. . .