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1976-12-13 Permit, New Water Well #4724
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940 Brown Road South - PID: 10-117-23-12-0004
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1976-12-13 Permit, New Water Well #4724
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Last modified
9/19/2024 11:59:25 AM
Creation date
9/19/2024 11:56:27 AM
Metadata
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Template:
x Address Old
House Number
940
Street Name
Brown
Street Type
Road
Street Direction
South
Address
940 Brown Road South
Permit Number
4724
PIN
1011723120004
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City Permit X?4724 <br />Contractor <br />Owner___ <br />Address <br />Address <br />State License No.City License No. <br />GENERAL PERMIT <br />CITY OF ORONO <br />Crystal Bay, Minnesota <br />473-7357 <br />. f*Date <br />n- im i Parcel No. <br />Section No.Lot Block Subdivision >1 <br />IV <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, <br />shall comply with the City Code of Orono applicable thereto, and shall include all additional specifications as listed <br />below. <br />Water iMeler: <br />Sewer Hookup: (City) <br />Install Plumbing Systems: <br />Install Sewage Disposal Systems: <br />Install Water Hookup: (City) <br />Install Water Supply Sy stems: 0^'cll) <br />SAC <br />State Surtax: <br />Total Amount Paid to City ........... <br />Fees <br />Fee $ <br />Fee $ <br />Fee $ <br />Fee $ <br />ignature of applicant / VMlT <br />Fee $ , ^‘0 <br />I ee $ <br />Fee $5'^ <br />...................Fee S exf/ ■ <br />Code: White FUc Copy ; Canaxy-Inspcctor*s Copy; Pink-1-inance Copy; Gold-Applicant ’s Receipt
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