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HomeMy WebLinkAbout1969-2364 - general permit � � ,��� � � �r�. ��� � . - � -a �'� �`" � �z- �r��t�}�,� x� �. t��,� �.f ,.. � , , s �. ,rc�^t��"G1V����tnfi i a�.�. ,� �tq ' *"='�?' "�i r 7 s.� .-,F' ` � � Village Permit o 1� � N- 2364 - �,;H� ,� • ��. ,, ; � y , COIItTdCtOI ///Y1'�W � j• /� t('y/���`./ .�//� '� � ` �;,4— �v Address.__�� • /�• »� .. , ��,� ow„er ��f1�.t��L✓, /�2 C��C� v,�,L „ � : , Address � � /�. Ot�g� �/� �t r� State Liccnse No �'�� Village License No ,w} '�S.3:,- <, ���.,Y . �3r - GENEI�AL PER ��-c MIT y�^,7, � � VILLAGE OF ORONO G �;a � - � � Crys�a� Bay, Minnesota �� � � f�� � � ` � _ ,`� � � � �t� y �; � ` Parcel No ��s '� Section No— � � .,. , t---- Blocic�_ Subdivision ��'�,� ; > ' Plat No` ��°�� i Other�Description: �'�� ��� ' ► x' ¢a �5�,"� .f�r ^ . .. . . . . t� � {; � ., .. . �'� ; I hereby agree that, in case a �`,�, permit is granted, all work which shall be done and al] materials which shal] be us � � _ °OmF1Y�� the Village Code of Orono applicable thereto, and shall include �' S1''all � �`� � all additional s � � ; . pecifications as listed belo�, � .� �.�.�....�..r.- Y..�� "F x. . . . . � ��' � � ^- �. ,�� �� � •�� � - k �A„'? ,,. ��W��:,; t ��� ��j� L ' � . � . �1 � 1 ��'�l ���� . U 1 fr.;'~ �9• . . �Install plumbing systems; • Fee �__ . ;;��* '.Install � Signature of applicant �.�� �'> � Repair S�� d;sp°saI systems: Fee $�_ , ��'` .Install �4.�{' . . water supply systems: Fee R � �+' Repai ------ w "��; t �G - �"`"'� ���`lJ �� , j Signature of Villa e pff� `s' �` F� $� t� g 1 ��` �-� � ,n •1 ' ' Total amount paid to Village....... � -��1� �" .� , � �,"` ----_ � '`�-� ��`l E.���11/'` � ;. . _ �Y . M _.F ayf , . . , i`: '.r+ "�a6:.'...: . . �a �'�r.. .•,'.:a,d ... . � . . . � - . . � .._.. . .. ,,''N