HomeMy WebLinkAbout1968-11-25 Permit, Water Well #2015Village Permit N° 2015
Contractor Address• .
Owner Addr
State Gcensc No __ Village License No.
Section No
Other Description:
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Parcel No.
Date
Lot Block_— Subdivision
Plat No
I hereby agree that; in rase 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.
m
Install plumbing systems:
Instill
sewage disposal systems:
Repair
e
water supply systems:
Fee $
Fee $
Fee S 16 ' A V
Fee $
Total amount paid to Village........ $ O
Q. 6)
Signature of applicant
Signature of Village ' 1
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