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HomeMy WebLinkAbout1967-1491 - general permit .... ..�...w-..,�uyyyJyyyc�f• . . ....:. .,.. F.. .,, ., ... . .. . �...-... - � ..... ..'' -}��. a5 �:� fl '�..:�"v �' fi¢ f;z �,.� �."°'�� -. k>>��.��� ���,�= �.. r . �; � ��e �� �� �' y; t� �r���! ������ J � y.�^"( � � n� //�'/,��r��.f � , � ai � i ! �r l !w' ! � V/ r w.,,.T� �� p, ' h � X �= _� 1 : �` � ;; Vil!age Permil No 14 9 1 '�'t",� 1''.9 � _ u�` � '4%�Sk . . . , � . � '7 � . • ` . . . . ! ' Contractor_�' � � / �� � [ �. /,i=��_1__� � ;','.�..---- Address---�.. =-�L�— • //rr�; � .l ' �WI1CT�_��'i�l�' ���� • �� � ��f tr � [�i <'� i'� � /y� �� �� -��-�---�.�'i�..L�.J..�" -- - .�(jG�iCSS •--/ -f _� . ('f��.;1(Lv i � � /� Statc Liccnsc No. ______ _____ �>>���gc Liccnsc No._____` G�I�T�RA�� PERl�1IT 'VILLAGE �:� F pRONO Crysta] Ba}� ��linncsota � :k'_.. �`t � ) / � .�., Date_�_% :'- / h r �` � ~'�Ft 1�� / . � �� ��� Yarcei No. � �''xs�',� : Secti.^n :Vo___ Lot___ I31oc'; _ Subdivis�ou � ` Plat No. ------- � ,; ,� � —- � =,�7�� Other Dcscr,'ption: � �'� ,� � �.. +�.� �:;zr�.� „ r I hereby agrec that, in casc a �xnnit is granted, all �vork whicl� sl�all bc clonc aud .�ll ni;iterials wl�ich shall hc uscd, shall comply with tl�c �'iliagc Code of Orono applicablc thcreto, and sl�all incl��dc all additional specifications as listed bclow. 1k � x j l:.' ,��'Lay .__.. �'; b� _ ,4 M 1 � ''��t � -- �✓7 f h�� a /` � ��� �� / . �} 2,�� -1-_' ,� �.`�-f�= �'--`7----�-� 1.. '_�!'✓i'�L l� _i .� ? � � / / � � �'� -- -- �< � ��, - -- � � --- t ' �,��4 ------ - ---- —, at ��+� -- s��, �� - _ .�.3r:�S , _—_ —_ __ ��r�,� _"_'__�"�__ __"-__'___ _� Install plumbing systcros: 2'eC �—_—_—_-- Sigiiaturc uf al�plicant Install '� � � � . sc�vagc dis�sal systcros: l�ec � � � �r Repair --- � � �` Insta�! --�=---�� �=- ! � '�; �r Y ' '"� Re •r�`vater �pply systcros: 1�'ec � ____ k, � `�yx. ., , , -- — '_ ���"�=={� Fee ��/� v ��g>>aturc of \'ilia�c Offi�i,�l ._ � � , /',n � � i �' � �� 'I'otal amouni �>:�id to �'illagr. . . . . . . ti_ ,' i �;� ,�� �/� `� % �' � i � � � , , , �� _ � _,. , - , ,. � ;� _ , _ , �. � `i � ��, ,,.,,, fi . 1 �.;���t f R'� 4 ' ^�t ' � —c �, ".,a ��x�' ���"� '�"y�t ��,` ,�`-s�`� '� „y '�'° "T""'^tn iie ,�,- , �`�: ,� � �s �a � � ti � . 7.c is r � +'�'�yr ��' $x�..F r'.�.. 1 ,,� � k , � r ,*4 �, � � � k t� � � . t � ` _ �� f F �" ��+° ' ,. �t`x� �'�����"�� �ry e' � � 'a� 'r: '� r b� r e�3 ' � � i 'c � � 5 ."�'f �i �k, i � � 3 • . � �,�� i ��k,5��y�� oF�'7�� � Y./ Z � K• C 3 . j ��._ �:�. .i; a . � ``3x�°d� '�ay�. 4��'x `� >' '� t � ' ' � . , i a �, ��, x . . �l}�5�� .`���. P�,f ' � �' � 5,��. }i� � Z $"� a� �.�y# ,�. � ;$ � ."i �.,.., v �._Al� X. >.e'M1'�-� .�, . ,R�. _ , _� . _ . . . . _ . . . . . .�'�. � _ . x. ., . T�a