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1978-06-05 Permit, Septic System #3659
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350 Brown Road South - PID: 03-117-23-13-0001
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1978-06-05 Permit, Septic System #3659
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Last modified
9/18/2024 9:37:14 AM
Creation date
9/18/2024 9:27:40 AM
Metadata
Fields
Template:
x Address Old
House Number
350
Street Name
Brown
Street Type
Road
Street Direction
South
Address
350 Brown Road South
PIN
0311723130001
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.. TT.-^Village Permit ^*< •3859 <br />Contractor.I aI^^})tthy <br />/I <br />■3^.4? ■ PEAddresi <br />Owner.C^ (Ly\l f^'if^ <br />State License No.. <br />Address.A‘^o /Sa-^ia-a/£j 5 . <br />Village License No. <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date.A -.5~- '7A <br />Parcel No. <br />Section No.Lot Blodc.SuLdivisioa <br />Plat No. <br />Other Description: <br />I hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be used, shall <br />comph ’ with the Village Code of Orono applicable thereto, and shall include all additional specifications as listed below.- <br />■'i ■: . ; <br />£• <br />Water Meter:Fees <br />Sewer Hookup:Fee S <br />Install Plumbing Systems:Fee S <br />Install Sewage Disposal Systems:Fee S <br />Install Water Hookup:Fee S <br />Install Water Supply Systems:Fee $ <br />Install Sewer Hookup:I-ee S <br />State Surtax:Fees <br />Total Amount Paid to Village.......... <br />Fee s //~) ■ ry cy Signature of applicant <br />Fo. S .A/O <br />Signature of Village Official
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