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1977-06-29 Permit, Septic System Repair #4850C
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1977-06-29 Permit, Septic System Repair #4850C
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12/5/2024 1:53:53 PM
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CityPfcrmitN? . 4850 <br />{i <br />GENERAL PERMIT <br />CITY OF ORONO <br />Crystal Bay, Minnesota <br />An-nsi <br />Date.77 <br />Parcel No_____ <br />Section No.__________Lot.Block.. Subdivision <br />Plat No. <br />Other Description: <br />v.f.: , <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 />shaU comply with the Qty Code of Orono applicable thereto, and shall include all additional specifications as listed <br />below. <br />\ <br />Wi^rMftn: <br />Sewtr Hookup: (City) <br />Pliimbliif Syitems: <br />iMUl Scwipe DigtoaJ Syttcmi: <br />faistal Water Hookup: (City) <br />Water Supply Syitcmi: (Well) <br />SAC <br />State Surtex: <br />Feel_____ <br />Fees_____ <br />Feel_____ <br />Fees <br />Feel_____ <br />Fees_____ <br />Fees_____ <br />Fees ^ <br />Slfnature of appUcaot <br />Signature of Gty OfTkial <br />ToUlAmoimiraMtoaiy...................FoeS <br />r// <br />Oodf: While>Fie Copy; CMury-Iiiipector*k Cbpy ; Pink-Ffaianoe Copy; Gold-Applicant’s Receipt
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