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Home My WebLink About1966-1356 - general permit �� , . Z r, 5.��s.,� �'`: � Y �,�,��T,�+,'�"q,�, �° �:i��.Jr'. � . �ay._`3, ��x.,. g �'a'�t �+ F:i t�A �� /' I � /� �� ,�,��r.0 ` �' . �� y� I Village Permil N° 13 5 5 ;�" �� . ; : ,-�-L' � 4 ��. ,% ' :,� �" � k ' Contractor�_}��.��`x.�__/C_%__�_�'_�_ ��dress - � ��/+ � � � / ' ,� � � .r / ' Ow>>cr �� c.'�_.cr- �--�'�--� / -- _ :\ddress�C''��_`�� (� � Statc Liccnsc \�o _______ _____ _ _ Villugc Liccnsc tio. GENERAL PERMIT VILLAGE OF ORONO Crystal Ba}•, Minncsota � . � �� Datc /��I 1 . r� /� Parcei No. Section No Lot— Block____ Subdivision_ ; ;t� ,�` Ylat No — �' �� Othcr Dcscription: �'�,`# ��,�� ,w ti,�'' 3 < �f Hh�, ��" �' a��;:,;,, I hereby agrec that, in case a permit is granted, :�II ��•ork �a•hich shall be clone and :�Il niateria!s w�l�icli �hall be usecl, s}all ' �-o�ti� comp]y witli thc �'illagc Codc of Orono applir.ibic thcrctv, and shall includc ali aclditivual s��ccincations as listcd bclow. r,�' � ,;.� ze. � �� L��Y�Y. �M1{r,��} y„Fw� . �� ..��j��,�ry � >. {s � �C'G`L'.i� ' � ,� �� {� ' � � r 1 � ��,�� {� ��'��p ,� • � i b�m��e; t ��.�Y, ��:'_�'.'�'.� �, k�� Y ,� � � Install p]umbing S�'StCI11S: I�ec $ _ Signaturc oE applicant �' ' Install sctvagc disposal s�•stcros: Fec S_ � ��` Repair Ins+.all ''n};.�,," �vater stipp(y s}�stcros: I�cc $ Repair / � � . _ ��.�'--f—a G-(.,� F� � �.�Cj Signaturc oE \'illagc Official -- —�— , ' � � . � / , ,e � ., T'otal amount paid to 'villagc... .. . . . S—— - —-- �,��'��!•' ,' ��.��j/` � ,�� __ _. _ -. - �. —�-----_�— ��,, `��"�;•, ��` '��'-� � , ��"f t �� ns •� �r s�,��p� ./[ T1��4 ,ry, .`Y�^�f � K.k 4 r��y�t �. C� �� z ��.'.,y "�'1 d"kz ��a�.71� jF�`�kA�S f"',�i�t ��"�ak. � � � f yT ,.�P� 1 F .h„�f.s 'rt�"�.4-�t��` .�'4��r� � R'� 8 p �. _ ., � : �� kS ;.F n (S' y '�' ..��.. .e � �� ' � ��u . .. . , ' ? �� .. .� ` }.. .. . � .. . .. �� # . , . � . �'� ... . r 'b a ,��i �" � h q � n' ; �� . �f:� Y.f.. � .� � �,g A