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1964-09-01 Permit, Septic System #608
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4250 Forest Lake Drive - 07-117-23-12-0022
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1964-09-01 Permit, Septic System #608
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Last modified
3/26/2026 9:36:27 AM
Creation date
3/26/2026 9:28:19 AM
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Template:
x Address Old
House Number
4250
Street Name
Forest Lake
Street Type
Drive
Address
4250 Forest Lake Drive
Permit Number
608
PIN
0711723120022
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Village Permit N2 608 <br />Contractor I 1� /'��"t,6__— Address_ <br />%�sAddress--- <br />State <br />Owner --t <br />`6 1r�-�— ��'1��''`��------- — - - - --- ------------- <br />License No. Village License No. <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date�� _- <br />Parcel No.__—____ <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, shall <br />comply with the Village Code of Orono applicable thereto, and shall include all additional specifications as listed below. <br />Install plumbing systems: Fcc 5___ <br />Install r S C <br />sewage disposal systems: Fee <br />lfic+�ir <br />Install <br />water supply systems: Fee <br />Repair <br />--- - F cc $-_ — <br />Total amount paid to Village....... $� <br />Signature of applicant <br />Signature of Village Official <br />
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