HomeMy WebLinkAbout12-28-1965 Permit, Water Well Repair #1035Village Permit N2 1035
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State License No_Village License No.
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date.'OieJ i<pii;fuU
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Section No.
Other Description:
Parcel No.g>.7^^^^ -I ni„.i “ ^
Plat Hoj^gt40— -a
Subdivision.
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I hereby agree tliat, in case a permit is granted, all work which shall be done and all materials which shall be used, shall
comply with the Village Code of Orono applicable thereto, and shall include all additional spcciiications as listed below.
Install plumbing systems:
Install
Fee $_
Repair
Install
Repair
sewage disposal systems: Fee 5-
walcr supply systems: Fee $_
'I'otal amount jiaid to Vilbge.
Fee ^
Signature of applicant
Signature of Village Official