|
,. �,,` .=�: �
<br /> �Nr _�
<br /> :� � � _
<br /> .,'
<br /> ����,:��.
<br /> ,;.
<br /> :: Village Permit N o 2 2 2 g
<br /> ;', .
<br /> ..,,�
<br /> �
<br /> ''F4 �,', / �
<br /> `� Contractor L /�'�lJJ/ ���!1 � �.
<br /> r t Addres
<br /> � Owner ����-eCJ� C�C_`( �'!��C�'C� � 75�5 /
<br /> �' ��� � Address �+'-� � �-aL
<br /> y
<br /> � �' State License No
<br /> ��, "'' Village License No
<br /> �.��.
<br /> =z,,�, .
<br /> €�' •
<br /> ��� �ENERAi. P��MIT
<br /> �.
<br /> ii�i. �
<br /> �J
<br /> ':�i '� VILLAGE OF OROl�iO
<br /> � �' ` Crystal Bay, Minnesota
<br /> r� ��s�;
<br /> �x.�
<br /> �� � �tP
<br /> g Parre] No
<br /> 7� ��€ 4:
<br /> i"�� y �' Sec�tion No Lot Bln�
<br /> `� z z, Subdivisior�
<br /> ,;,,�y , ,��« " Plat No__
<br /> �Y..
<br /> +� �f Otlier Description:
<br /> <.
<br /> Y�,:
<br /> . *:, ,.,�:
<br /> ?;�� � . �
<br /> y-y
<br /> .; '
<br /> sw� R}
<br /> � ���� I hereby egccx that, in rnse a permit is granted, aU wak which shall bc done and ell materials which shail be usod, shaU
<br /> , �� �
<br /> 1 t,� �A� i comply with thc Village Code of Orono applicable thereto, and shall include all additional �pecifications as listed below.
<br /> h� "+'y�
<br /> ;,:
<br /> <>
<br /> ;, :
<br /> ;�.,�`
<br /> ' . � �f �.o -- 6 G --
<br /> fi, � r
<br /> k ���'
<br /> i R� �
<br /> '�.,
<br /> ��
<br /> {
<br /> � ��
<br /> -'��� "�•� . �. .
<br /> � ;�',..
<br /> K
<br /> 5;.
<br /> ;x
<br /> "� ' Install plumbing systems: Fee � Signature of applicant
<br /> Instalt
<br /> sewage disposal systems: Fc�e $
<br /> �G; Repair
<br /> ;�Q;�;,��`; Install
<br /> ;� ter sup ly systems: Fee �
<br /> � r r �;
<br /> �� �1 � Signature of ViUage ' I
<br /> `�"� Fee $ � � /
<br /> ;�: Tota1�amount paid to Village.......
<br /> '.,,
<br /> k '+�Y ' /Yn. �� N�y/��� /.(���$ 7�}'�'
<br /> '"�� µ '+ p��{�,�1'L ,�1 �>� ��`r �� 4 4Di��,�
<br /> .#,"1S 5 � �: i �� u,' �y�,�1i T;3'� '�4 k�'1 � � I': f����\ +i l41.7� t 5�i� ��� �}� . � .� �.- ' � :
<br /> 1 w.�. �3 7N,� ,k � �� � � �-b fS�i't�y r .. "� +k+ �` �- t ���,w� �� � , �� �`x"� ��I �'�+ N.
<br /> rE �� K '� x ' �: w �y r 4 , _. , t d : ,��, � '•
<br /> ���• P,r,.. � �., 3t�. r � '�� �� �':�. . :� �"�'�.Y` � '�ti+'r���� � . �`f . >r ax a kr f '�5�i�,��
<br /> r
<br /> fis s
<br /> " � { w ' '�� � ��'�i� �. �r � y�;f�r � i;�� '� �"��r�,�'�s Y� 4� �,g 'r r ��le�r�� � r{;Y� t�i.
<br /> F.{R '�� �,_r '.�v �f,* 1 i .�: �' �t Y r d.�` r�*,�'a�, ��N,�',i;'t����` �MS 9`�S-i C �^ �.�= s.i � 'S r 'r! i c .
<br /> d `i J 1�
<br /> � � iS � �
<br /> ;dpa�n,a.s:�a#IR'� ,..��,,,�Ml"�e� . . �ut;��"'�,t i ° �� � . e . _. ,. �fa.�har'°.o� z.,`�za4��.�� �.t�l'jl�,��'����:�k . �Y'.� :.��4�� , .sa � ..�� . �Yti.. ��'F;{�� t .�. � ��'�� , �'§�:
<br />
|