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HomeMy WebLinkAbout1969 - general permit Villag� F'ermit No ,\ � �, , �� i� �%, � . C:ontractor ��` �l`�.��L�/�=�-�-�'���-�-'�— ;lddress �� ' �� - � ��� / � j � I G i "� L �/ / �� r r-'� ' 1_ Ow��cr �Ir� G - �t����` `� ' �� � _ �lddress �_�l�L �'/ h _J�' /� 'r i St-atc Liccn�c No.— __--- _ _ �'illage Liccnsc No._ �E�.�TFR. �� L PE�.. MIT �' ILLAGI; OF ORONO Crystal Bay, Minn�ota � Date '"� �r .� � Parcel No._ Scction No Lot—_.—_ 13locl�_____.- Subdivisiot��__— —• — Plat `�o.— -- Uthcr Description: T hereby agrec that, i�i r��c <� per�n�t is �rantecL ��Il �t�ork ���liich shall be clone .111C1 all �naterials w]►ich sl�all be us< comply with the �'illage Code of Uronn applicablc tlicreto, and sl�all inciude all additional sl�ecific<�tio»s as listed Ir�st��ll plumbing sy�stcros: I�cc ��___--_____._ Sigt��►t,irc uf �ipplicant Install �c�v���c disyasat s}�.tc»>s: rcc $�____---_ _. Rcpair ' Install �vatcr su l;l}' sy�stctii�: I�cc `�..�.__�.�_- �c�'r �� ��a �i�i�.�turc c>f \'ill.�gc Of�icir�l �'�'°'� �' _ I�'cc �+��._._...,.�. � � i . ._._�_._ _______ ----. , , / � ; - � . ,� �- , - ' t �=' _ :� �- 'I'atal amout�t Ir.�icl to \ �ll�igc. . , . . . , . �._.-._ . _ .____.. _._.�. �� _`�-.. `�-.- .------=-- `1 �': llatc �— `''- l�, / �� ; '�;��� �<�� Parcel No. ;�' ��z� Section No Lot _ Block _ Subdivision ____ __ - Plat No ;� t���;� .;� �:;� ._� C)tl�cr Dcscription: �,� � ': ,�u�. � ��� -',' '_ ..,�ld,� r.:��`i� �y; � � ..� `�_.Y 4..3 �.. �:i� F f E . '• i:'f t>y*�"r�� r ` � � I hcreby a��rce. tl�at, in rasc a �)Cl'tll�t ia grantcd, .all ���ork whicl� �l�a!? l�c cic�nc .���cl all n�atcri.il� ���l�icl� �li��ll be uscd, shall � " � + ;� �- ., : '� ;�� comply wzth the \'illage Code of Oro��o app lira b le t hereto, an d �ha l l inc ludc a ll �•3di tio�ia l six:ri fica ti�ns as lis te d be low. � y-ry-:i � " �`' �� —. -- — �;� - rF?-.�:�,. C'�' --.'_ r.:-. �:F � :� __.. s- ,l i� • _ ---- -- r ':� ��. � . aE �b� t � `,�' ��t.�!r�` -- �" ' � {"� ��� � Si uat�trc ut � � lica►il � � ����� Is�stall plun�bing systcros: 1'ec � ----- � � 1 � ` �� ��� Install _ '�� scwa,�c dis�x�sal s}'stcros: !�cc � _ ��, `� Rcpair ------ - --- �; �� � : _m :� ��'�" 1�.� � �I1S � r ,fs��, � � -���tcr s��l>ply s}•Stclns: 1�'cc �a �� '.� d_ , s . _ � �� Re �r "" °`� _� � Signaturc i�f \'ill.� c O�cial _ � � / E t }�"'F� ��_ ��L� ��_"_'��_"�"'�-• 1 � i� F � . .a;�X�y `�?7� ; �, °� r� _.__ �-- �. ��'��Lhy..,�--_.. ------- - �- ' � Total amount paid to ��Ilagc. . . . . . . . �-__.___ __ _�-- _. _ . � . � �.E -.+,. � � � �� u ��� ' , , _ � '� �� ^5RA � g" �`�. y'� _ J+. -'�,$�. 1`7�4%�" J Y:' . .: ....�. .�,. . -,..-. ..., �i ...+;.- a=::,..'. , ,.t. �:�i; � ..::�� ` . , "o..�! 's,^ �'.� - . . . _... .. .: —�. .., .�.., . . . ' — .— •.... z.. . ., .. .. .. _ r . .. . . . .. . . .... z .. ;. � . . w'= .. ...._ _ ` ... .. �'. ' " .. _ " . . • .. , - .. , '�