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780 Long Bridge Lane - Point Of Sale Application
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780 Long Bridge Lane - Point Of Sale Application
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Last modified
3/27/2026 2:21:12 AM
Creation date
1/15/2026 1:07:48 PM
Metadata
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Template:
Address
Street Name
Long Bridge Lane
House Number
780
Address
780 Long Bridge Lane
PIN
26-118-23-34-0004
Address Doc Type
Point of Sale Application
Section
Point of Sale
Retention Effective Date
10/20/2025
Retention
After
Protection
Public
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I agree. <br />Electronic Signature Agreement* <br />By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the <br />sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature <br />to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be <br />required to provide a traditional signature at a later date. <br />I agree <br />Electronic Payment Agreement* <br />I acknowledge a convenience fee of 3% will be applied to credit/debit card payments. An additional fee of 50¢ is <br />applied for payments below $100. <br />Electronic Signature* <br />Megan M Dayton <br />Date* <br />First Name* <br />Megan <br />Last Name* <br />Dayton <br />10/20/2025 <br />10:30 AM <br />10/20/25, 10:41 AM oronomn.gov/Admin/FormCenter/Submissions/Print/8715 <br />https://www.oronomn.gov/Admin/FormCenter/Submissions/Print/8715 3/3
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