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1980-07-23 Permit, New Water Well #6048C
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1395 Brown Road South - PID: 10-117-23-31-0050
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1980-07-23 Permit, New Water Well #6048C
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Last modified
10/10/2024 9:37:29 AM
Creation date
10/10/2024 9:35:48 AM
Metadata
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Template:
x Address Old
House Number
1395
Street Name
Brown
Street Type
Road
Street Direction
South
Address
1395 Brown Road South
PIN
1011723310050
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City Permit N? <br />Contractor / >� l� Address " t <br />Owner y tel&-Z,,:�2/_ Address 13 9-5— S, i3�w� ACb <br />State License No <br />Parcel No <br />City License No. <br />GENERAL PERMIT <br />CITY OF ORONO <br />Crystal Bay, Minnesota <br />473-7357 Date 7 - Z 3 ` 931D <br />Section No. Lot Block Subdivision <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 Meter: <br />Sewer Hookup: (City) <br />Install Plumbing Systems: <br />Install Sewage Disposal Systems: <br />Install Water Hookup: (City) <br />Install Water Supply Systems: (Well) <br />SAC <br />State Surtax: <br />Fee S <br />Fee S <br />Fee S <br />Fee S <br />Fee S <br />sI <br />Fee S 2� <br />Fee S <br />STS <br />Fee S <br />Total Amount Paid to City . .. .. ... . Fee S zo — <br />C <br />_%ppplicant <br />kAtk_4w/ 1 -- <br />Code: White -File Copy; Canary -Inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt <br />
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