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1964-458 - general permit
�:= ° ��:� Village Permit No 458 `�� � ' ���_ _��_1������ — �' � _.`�ddICSS , '-' ' - COIItTaCtOI_ =Y»"-'r�"--- � `� I ' {'� �� Address_.E��--f� '� ��—�'--�-'��� Owner—��_ .�+—-���--- --— ---------- �=� r��. r-+ #F �. r,_. Statc License No__-_---------- � - -�--�— Village Licensc No__`' /-v-------- -- - :. _�F� . � . ��� � � T ��' ���� � �� , , : �� � GEN �Rt1� PE�ZI�IIT �� VILLAGE C�F (�RONO � Cr}�stal 33a}', :�finnesota � 1 l: ? - � � , , r^ ��--�1`;����_- , ___�__ ��"� Scction i�'o.�— Parc�l I�'o._i �<-'� Lot_-- Bloc�___ Subdivision - xa�E py..� `�;� Otl�cr Dcscription: .�; � � � ���� � �cn,�it is rariicd, aii N�ork ���liich shall bc donc and all materials «�hicli sli�ll 1�� ����-�� ;=�,11 cn;,>>,'�� ���itli � � � =� I IicrcbJ� agrcc that, in casc . 1 g ' thc \'illage Codr, of Orotio applicable tlicreto, and sllall include all additional specificatioiis as listed belc�� �6 . ------- -- ---- ---- X --------- ----_ _ � - ���,: _ _, , - _ ,�_ ,g,.. -------------- --- — � ��� ' ','�� Install plumbing systems: Fcc $ - `�;�-;, '" � lnstall scwage disposal systems: Fce $ -- � � Install water s�ipply systems: Fee $_L�`� e � � t� � Fee — °+ F, — ,:�� n ,.i� , ,;_j Total amount paid to Villaoe . .. .. .. .. �1=---- Signat� re �f applicant Signature of ��illage Official %� , i J/ ����t� � _ -,n�-�------�-�-"'`��--1 --- � � � �, . , � - - . � ; .:>:a. . :.. ._. �_ .F � ,._ ..,,. _ , � . ._ , , F'" �,,,�,�'4''� � ., ,.�. ::, , . -. ., ,. . _, �:�.F , < � _ _ . .� � �� �- � = � � f ..� .�,. ; _ ,� � . ,.