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Home My WebLink About1969-2110 - general permit n'�� rr . ,�,� e�.. 4µ''�ih�.'�'::.'�� '� ,p.� I ��; �- t� ��1 F�,. {,�, ' r�'� Vi�lage Pc�rmit N4 21 � 0 rP `�� , � � Contractor �� ' ' ��' Address i � ,�r�c� � � �� , � � �'�-� Owner ` Address � J�� 5✓ l�e� State License No Village Licensc 1\'0 4,,: ;`::'� GEN�RA�. �'ERNIIT _��..� VILLAGE OF ORONO � �:: � Crystal Bay, Minncsota Datc -� ��^ -� `j � i�, �p�h� Parcel No � "a'`�"�';�'� Section No Lo�_ Block Subdivision .-:;�r.y, Yi�._. " F` Plat No Other Description: I hereby agree that, in case a pennit is granted, all work which shall be donc and all materiais which shall be used, shall comply with the Village Co�ie of Orono applicable thereto, and shall include all �dditional specifirations as listed below. / c—�G,� -�—�-_ , �� c-�C � �..� /�- ,�'�� Install plumbing ��steins: Fee q Signature of applicant - Install sewage disnosal systems: Fec $ Repair — Install �•rater supp] systen:s: Fee �__ 5 � '„�2. Repair � � / Signature oE �'illag; Official ' ��`•`� /!^'� Fec 5�� ' �/ .�� $ ,�: _ � �_ �I �I�`-K-�— " l��°�� ;a� . . ,=w , T�;tal amount Fxiid to Vilie�e....... _ �. i • { �� R- ��.-� �.R»�ru+rr+r�n's'+ , � _ �� , �.: , � .. + at � ,� �y xa� �r +��e �''z� ,, r �.��'° �'F � ��,"�- F�;�� ` y�, A :a y r� � 9�* �i�, �7 yn' i �a ,. � '� ��:r�SAd" � : � + .; z � i a �'� �+c i � `c �r t r �>s ,�;� a '�''.��"�`+�� t�t� �, �� tS _'�'{ "�vN. . , ��U ,+� -�'s.+e ..�� g,nr x�-+a ��•€3 =a '4�4 a < , r'1�+a k�'yr': m�"n�� w '�s "r'+� � ��°'�'�'k �.°�F� t��y;^' 'S '��, � r� �� '�. � �`1r � _:'tP b "�.�t� �* . r`fi._�`n ) � '� 'T �� . ,� .. , .?... . �f. ., n .... _ .�'^ , ,k..+'.� ..,r�� , k' :�r .�'l�" . ... ,t.':3 . �T„ ,.�.t .5�-•.�t ,