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<br /> Statc �icensc No. _ Village License No
<br /> �' ENERI�.L P�RMIT
<br /> '.: .� . VILLAGE OF �RONO
<br /> ���� , Cr}5tal I3ay, Minnesota
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<br /> R i S
<br /> >��` - /�- ��Z
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<br /> '� `�' Parccl No.
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<br /> � Section No Lot Bloci� Subdivision
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<br /> b' '-� � . Plat No
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<br /> �'��,�,�''�`` Other Description: -
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<br /> � r�: I hercby a�rcc that, in case a perm��; is grantcd, all work which shall be done and alI matcriais which shall be used, shal]
<br /> �4F�ks
<br /> ��Y comply with the Villagc Codc of Urono applicable thereto, and shall include all additional specifiqtions as listed below. �
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<br /> Install plumbing systems: Fce 5 Signature of applicant
<br /> ..� Install
<br /> �,� sewage d;sposal systems: F<.� �
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<br /> ' �i��,� �+Y Repair �,� Signature of Village O�cial
<br /> {xr �'�' ,�j'� i► Fce $ } n ` i! ;'�. �`
<br /> �K�� �� Total amounl ud�d to Villagc....... $.!��O �'1 ! �--�_ --r-Y' t't .�I�/
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