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HomeMy WebLinkAbout1965-947 - general permit Village Permit N� 947 � ?t— ,./. � _ �,_._ �__..� �-� ,� Contractor -�� � _ _ Address ,--w» �,�,- r"�� �'/J - f'� � 1 , ; Owner � '-�% _ Address ' % -'� ��- --.�� ' '` � �.., � � . — -�-i�-T,� State License No. _ Vill e Licens No. �1/ � "�� 7 C' � - J it-.�'_�.�-- ��1., GENERAL PERMIT VILLAGE OF ORONO Crystal Bay, Minnesota � / f _._ Date—_-f--� ''-- ';�-,��� `� _ Parcel No..�--" Lot—�?j Bloc � � Section No.�-- k_�_ Subdivision� � ��-1' �'�'�1'�""��-� Plat No. ' � Other Description: I hereby agree that, in case a permi , � ll materials which shall Ue used, shall comply with the Village Code of ( -`•- -�i I�� �/t , �ditional specifications as listed below. _J ,� ; ��'�-- ,c.�.� �t�-,�v� � �� �,; ,r. ; 1 �j� � i, ' L,,�,�� �`,-c-�-- , �� � �,,�.r",.2,�N`► '�� i'��:1�- ,�i�dw� �'r O!/�N� �� �� •T• SCkFoc�i"'V � t���b� � � s�-� ���� � ��� �° w� � ��. 1�_ r ..� :.�(..Z,l C.,. Install plumbing systems: Fee $— _ Signature of applicant Install sewage disposal systems: Fee $ Repair -- — �?�a4 � �water supply systems: Fee ��`"�`� _ Repair Ii�ee $—_ Signature of Village Official , -__�__~- ;. . , j __ �,. 1'otal amount paid to Village. . . .. . . $ `" � � � � r � �_ .i .4 ,� 1