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HomeMy WebLinkAbout1967-1546 - general permit Village Permit N� 15 4 6 _� � � L Contractor '� c�.� `�% ' �1:�1�0_r. Addres � . / ,� �� �f / OKmer .--����1 ��,,,�• � - f Addres .i..�r r.�� k _ � � State License No _ Vil'..,ge License No. l,'- . �� : : GENERAL PERMIT ,,,�, : �TILLAGE OF ORONO } Crystal Bay, Minnesota f .y /� 'r ,,� Date �1F='/,-�7 � , ` ' F � � parcel No. � , Section No �t Blocl�_ Subdivision � Plat No � - Other Description: � �� � - � � ;: F �'� I hereby agree that, in c�ase a permit is granted, all �vork which shall be done and all materials which sl�all be used, shall � ` � eompIy with the Village Code of Orono applicablc thereto, and shall include ail additional speci6cations as listed beloav, y� t . .. - - � l - . . . � � �� � /.c..�� �y� ,,. 'l � " , .; fJ� � � . . . . . � � . . . . ... .. . �, .. . . � .. . , . � . YX ` Install plumbing systems: r� $ � Sig�iaturc of applipnt ��� ;= Inshall ` ;� . � '',sewage disposal systems: Fee $ � Re ir �.. � ; � Install Re 'r �ter supply systems: I+ee � _ � .� _�./ � -t- F� $ C .� Signature of Villa�e O�'icial i � ��---- , a Total amount paid to Village........ $_ _ �/��,�.,,� , -�� �,�: i -------___. �{, -�