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HomeMy WebLinkAbout1973-3816 - general permit ;��� ��'.^ ,�� 'r� "�r�y'� ��r �y'�i� � �, :'�i ,�� }`sx� � �IL�,� t� �S �°x �,"' �`w ` '� � � 'i r,� i y'§ r'� �'��P'���`., e >�d+ +'.x w� �� r`�H�`k'� a �� i !�r �t#aA `�.3�•.}- �' i '�µt k �r � ^t-xf 'S Yr. '�� t E +� <. 7t�`h.ls'F' F '�t'�k z. . .a . r '�y f F `�.k r�`a r 'Lx„-a� d,�'� F�Qy ,� � �"'�-�s iyd�g��t � r�` �: �'., a 3��, •� � �� � a s �, ty �,�.';�, r w a x k s �� >�� ,.a F {�� 1 ��V i _ �� tn.�„Ug�:'�: 's .��`r�„��,� f+�d,�.�,.'S ��T `'-�.•-�:ty �u � '' v,�A" 0. t� �' '�' � .' � . �� , .. � i �f g�'i �', .T�+�`t '�a"�',{��,�'�ks'°�7'� s� ��* 'y'. � �r '� ,•b«4„ ' �� k F'-r�' ��:��..x�.... 1 :,��, w': . '. . ��� . �. 4 �{'E. R'- a� �^ :d �" 4 �� ''�. �'�� '� �{lr��`�"�.:i�1a. `�5 i � , . . ✓^r,Y'•h4i�1�t'5..��r,- .F�hir�+ L.-.1:;,��'y�{'tk���'I*"-..�.�TLw.-Y.*`"1,.'[Zf' r= t��t`f'.I:1'4!�"_�i+.,,• ��' , s� . .� � , =::�s. � . . . „�: �> _ . _. �816 ��. �ilage Permit •-• � `���� _ �:, x:' ��e, �„� ,�; � �: ' . Conhactor /��d Yy1,(n� �� 7 . Addresc k��' � �7 / /, 4� Owner �x � � Aadras_ � / �� , O�.¢-t9—( /e..�., �J� �/�o�o_iPoo t�avz��4 ' Statc License No. Village License No � rf� 4 :'. �;, i � GE1I�ERAI. PERMIT L �x ` 'VILLAGE OF Q►RONO .�;;. t,.�' ,�x': Crystal Bay, Minnesota � � w� �te ��—/2-- � � ;�' `�, �4�. " Parcel No. r� � � . �.; Section No Lot Blork Subdivision � ��. �,: w:> Plat No < �- Other Description: "; �,, .+'��- . ,�D., . , '°•��`rs� ,t. I. . , yr'�ey�n. �:1,. . .4','T_�-: `*, ` ' I hereby agree that, in case a pecmit is granted, all work which shall Le done and all materials which shall be used. sh�ll � ; .T,.k { 4�'�� comply with the Village Code of Orono applicable thereto, and shall include all additional specilirallons as listed belaw. ��� x, ,� ,`-��� �'? "�_ r � . ��-g � � 1 �� y� �� �;; ���. ��,, ��� � �� ah� �;x . , t.: "a�': . , , £:� a . � ;" � p ��� .. x�" : Water Meter: Fee S�,Z,7 ' r b ' . ',, :.y !:�;".` Sewer Hookup: Fee S t�' ,�;; "u,. �k>�, Install Plumbing Systems: Fee S �.:,,. `�'¢ Install Sewage Disposal Systems: Fee S Signature of applicant ?��. 'r; ?at; . Install Water Hookup: Fee S � . � � ;�+ <,y�'. �:;. lnstall Water Supply Systems: Fee S ,.`:.. # �,; Install Sewer Hookup: Fee S ° , � , Signature of Village O��cial - State Surtax: Fee 3 �� ,;'� , ` ' :. ; �L- �-- -�-%,�€� i��c l��---- : T�.al Amount Paid to Village........ ... Fee S—�/���, �' ,;, � � � �` ,� � ��" :i ;.,s °{��t� � �j6�- `�` { `i�� t ���di ti j 5'� a r� d��� I I �,�:. � � r`.; ��r 5xgn � .�s ;a. i ...; F ,�,yR, t;p; � � .��R„ ,r „r,�� . . � . . � . . . . . . ' ,* . a:" ���t+y,°`4;�,�' t''„��'�' ,�,�' ":9t p -r"�St�� ��i;;a�a� .aT*oY !�t+t , ^"«7 F ' 3r4 .t,;' r �.g� J y . , . �e� _ .. . b � � �- , . _�r�z�+ .a t;i � ..i�. ,�r... . _ ._ n„ 3, .>. , v. . ,..� , ... .. .,.