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Home My WebLink About1967-1642 - general permit r�, r „..�. C a ,,, �u Village: Permit (y� 1642 � �: ��:� �Contractor � � ; ;;.�, � � Addres ,�� ` � . . 17*�'{1 ' ^ Owner_ Addres ��" / A ��r,+;. +$h�� C. ��`' State License No Village Licensc No �.4 9�, �' :.r�': _ ,�,_�: � Y h �."S-': r��'� t �.. z��,^,F�: ��;�� ` GENERAL PE�l�I�' �`;,:� ,�> `��<: �x '. { �'�A c ��'�-�' , � VILLAGE OF OROlvO ; �� ` � ... �'��: . Crystal Bay, Minnesota �,',�:; . � � �� ; , q �>_�, - Dat —'�� ' R.rt . _r .� . . �_� FyrK.,,� �;- ..i: / . 3 .*.�.` � , ��,;: Parcel Na �, 1�`�r �ction No Lot Block Subdivision � ��.k: rt •. ��lat No =�' � � � r� Other.DescripEion: � ��;�' M� w�,. j, ,�� .., r . . . . . .. r�ait: j�� - ':.m��. �i�. _ ' ' . . Y�f�. �i� s.: ,-a..�.�. . .. . . . .. �,fi�`r I heteby agree that, in case a pennit is granted, all work which shall be done and all materials w},icl� shall be used, shall A;�� h'� eompiy with the ��illage Code of Orono applicable thereto, and shall include all additional spec;5cations as listed below. . .�; ��' �i'i� �Y, . � . . . . ' S'S. ¢ ! �� 'Lf S� ' �/�D v� •— /i— /`-!'- � 7 �' �.:,�;,. ��,- ,'';�� ::n; ;�y,i . . . . - . ..d,�:; Y�L / �` ... . , ... � � � . ' . . . . `` ; dnstall plun�bing systems: Fee $ Signaturc of applic�ant } ,,,: � ;' Iastall sewage disposal systems: Fee $ ;��r;;Y �P°'r_ "� ' Insfiill .�� ,. , . �ater s�p ly systems: Fee $ _ w u'•, R � � �a c , , 0 Siguzturo of Village �ial ' t,` L'.�L�.. Fa � (i ' ,.-.. ' Total :mount p�+id to Village..... ... $ �,V _��1 `�� "„ t. ,_; r = � �� . . �r�, t � A • � y.. 7�' y .��.�'��._"R^ rR`f'T.r-�r�yr'�'we"'.�'f p a #,�f".I�'R . ` 5 _?�$ � .,. �p"� � h�e a'i`� ra�:M,� ,ri.'w?�I�a��. :�1. `�ret ��r' �}�� Fi� �9,�ti�,�eg xY°�� '� � k'�� ,�'.. �� q'i6�y',.�°f �$�i �t 1.�� '�� r�1�,' �,'��§p�.+bs'��k:�,d��r � 1�,� �-�t,�y}�s. t�.,,,� �,1 / � > �i7 iF _ ^ fl! �h- � : ,� M ;i� .�s�T��"�� s� ��'y,�''�'�5-a � � m�i �� ` ��y � �� t...v:, .J� ,�, � o-?+r�'!' 3 i,;' '�^r ,� .�^..r�-.+ e.,{ye; �� }��'�;,. �� r��. r�- '� v s��"4. ,�a'1'�`�.. �t.W!'e 'a�v i 1.�� i�` "r�s e�� :,�Y i� :�� , ::4- a,.i rr�,'�'t "� ,� �'" �r'� +} �, ,;:i„�.}j�s.r: t".,� ;�,�M '>'k �y� �n r �� r 2 .� ,�rt �-.. � ,� 4 �..�, r � �1 � � a rN�� .�tYr�` .��t�+5 � � X6��_�'°sY z`�.`�e' t �4�� . � .. ��. ' 3 � `.:: � � �.1 a�f��f��'�Ls'�4�.i��-�rj�3�ti�IY.- � y �. ., . . �.� , � , �x � �� . :'?�""t��!�'��"�Pwal�'�'� ��fy�t t'��'a-a� "�^�' �' v�e� �i'�` r 4'��.F",a'�Y'��a ��:�j �,� , ;'f v� �? � rxb,,3•;:aa i . ,�''r:.'k �p ��,� µs ba,. . . �an . .. � t' ��'�d ,.. . , . ,t, . � .��, -�27>�f.e�i f:1`�Xz�•.i�:��z.Z*+��ki:�+W� �,":,y.