HomeMy WebLinkAbout1968-10-23 Permit, Water Well #1993Village Permif Ng 1993
Contractor Address
Owner jj� 4�) - Q/ Addrms--Z-L; At, )k�ll
61 Aelc-pk
State Licensc No
Nrcel No.
Section No
Plat No
Other Description:
Village License
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date /r --�-
Lot— Block_ __ Subdivision_—__ ----
I hereby agrec that, 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 specifications as listed below.
Install plumbing systems:
Install
Repair sewage disposal systems:
stem:
R s m
-water supply systems::
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Fee $—
Fec $
1'ee $ Ir " (10_
Fee S—
Total amount paid to \ illagc........ 5—.
Signature of applicant
Signature of \'illa6c Official