HomeMy WebLinkAbout1987-07-07 Permit, New Water Well #9098GENERAL PERMIT
CITY OF ORONO
1,0. WX 66
(•RYSTAI. BAY. MINNESOTA 5;1,-';
1612147.1.7 57
OW ncr
Cit% I itvnv No --
t I I l VI RSIIIN? 9098
AMR% - 1
_ rWdR.. —
l
REMARKS AND SPECIAL CONDMONS
ACKNOWI F.Fx;FMFNT
Ilk unM•hexd tkv t,, k kW,
W, n�r,ry .J the• Imutal Ix'mtN
.1•I4.1.1W r1e12tnr .4 Ai •rttal .M.�met.n t. rrtn. t•rx1a�'m ..
+mien A— In urd +tgnnl unk'nunl, uxl arm-
unk+latttltt, haw that th•J-nw.. 1411,11, kmwdm-1w "hr 0,rk
a. e,. n..w .mrnnrttx'M tj%%d:J that th,. rrnmt .kx+ M4 rnnt ,nt
amhnt, 0•,k, %jet .* auet4r .Munnr wryrnt Mm44 atyk.w21- ax.t
IMI OM I.'e^ti d,x+n a tram aLdktx+ k, twit' am r, n tw m, 4 am l tit
. xdnnnr,r.u1r1m0 ruk.•rrjubam UIO,sk.MNh-tkm 1-1ml
.e".Snr 0441, AN ( At ..dm,nn t•tx►knr -k, ant .. h -Ah
.{rpn"W" nrUbRxe, anf .MTI h- •.Atte.t , , ,mmtkr, m. -A,
�rRatkm M thr C.I, W tww", .....,kecd the unk+rtn'.1 ar',<- u
t.1wem1...k kkmtD•h mtxbtkw.A ttk-.. rxl44k+w. tM•ratins,
Signature d Applnt `
110N ❑ RFPAIR
Water Well
%Ic.hamcal F-gwpmant
Fireplakr,W% d Stmv
%I(+.Ing'Iilting Buildirtr
Land Mterauun (Uttmatil+n.
(irddtng. Filling. etc.)
Ikrgm Rew%%
O REMODEL_ )
Fee S _� O
Fee S -
Fee S
Fee S
Fire__-..---"-------
Spnnkkr SN cm 1 fire t
(Ahec-
ABer-dw-lay 111-ugalK,n
TOTAL
State Suteharpc
Tout Antuunt RIKI to C51y
Fee S
Fee S
Fee S
Fee S —
Fee S _-- - ---
Fre S --
Fees �SZ�
Fees
This Immo is m)t %,lid until the pRglcr fee is paid and it is approved
ht an auth,m/ d ('it} (Mkial.
Signature ( u) 0610al >/
2_
1''tnk I uumv (tqa Gold At¢wm'. Reoript
PF]Wrr TYPE. AND FEE:
NFN' ❑ ADDI
Inwk- PlumNrg2 IaRvurts
Water Mcter (SI/c -- I
Ice 5 -- -- --
,lrter rr -- - ---
— -
Munl..lpal Slater ('ant e"wn
lot-
❑ Ct,plrr ❑ -- - --
- - - - -
.%1unK•Ipal SeWet Cmu-titin
I-ov S -
❑ IIVC ❑ ('aa ❑
%fWCC SAC Charge
FIX 5
On tit. srx4w S(.tcm
1-(t S _--- ..--
ACKNOWI F.Fx;FMFNT
Ilk unM•hexd tkv t,, k kW,
W, n�r,ry .J the• Imutal Ix'mtN
.1•I4.1.1W r1e12tnr .4 Ai •rttal .M.�met.n t. rrtn. t•rx1a�'m ..
+mien A— In urd +tgnnl unk'nunl, uxl arm-
unk+latttltt, haw that th•J-nw.. 1411,11, kmwdm-1w "hr 0,rk
a. e,. n..w .mrnnrttx'M tj%%d:J that th,. rrnmt .kx+ M4 rnnt ,nt
amhnt, 0•,k, %jet .* auet4r .Munnr wryrnt Mm44 atyk.w21- ax.t
IMI OM I.'e^ti d,x+n a tram aLdktx+ k, twit' am r, n tw m, 4 am l tit
. xdnnnr,r.u1r1m0 ruk.•rrjubam UIO,sk.MNh-tkm 1-1ml
.e".Snr 0441, AN ( At ..dm,nn t•tx►knr -k, ant .. h -Ah
.{rpn"W" nrUbRxe, anf .MTI h- •.Atte.t , , ,mmtkr, m. -A,
�rRatkm M thr C.I, W tww", .....,kecd the unk+rtn'.1 ar',<- u
t.1wem1...k kkmtD•h mtxbtkw.A ttk-.. rxl44k+w. tM•ratins,
Signature d Applnt `
110N ❑ RFPAIR
Water Well
%Ic.hamcal F-gwpmant
Fireplakr,W% d Stmv
%I(+.Ing'Iilting Buildirtr
Land Mterauun (Uttmatil+n.
(irddtng. Filling. etc.)
Ikrgm Rew%%
O REMODEL_ )
Fee S _� O
Fee S -
Fee S
Fee S
Fire__-..---"-------
Spnnkkr SN cm 1 fire t
(Ahec-
ABer-dw-lay 111-ugalK,n
TOTAL
State Suteharpc
Tout Antuunt RIKI to C51y
Fee S
Fee S
Fee S
Fee S —
Fee S _-- - ---
Fre S --
Fees �SZ�
Fees
This Immo is m)t %,lid until the pRglcr fee is paid and it is approved
ht an auth,m/ d ('it} (Mkial.
Signature ( u) 0610al >/
2_
1''tnk I uumv (tqa Gold At¢wm'. Reoript