HomeMy WebLinkAbout1971-09-14 Permit, Water Well #2856/ vinap Porn t 2856
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Contractor — Addres
Owner %% Address / Q
State License No. Village Licam No
Parcel No.
Section No_
Plat No
Other Description:
GENERAL PERMIT
VILLAGE OF ORONO
Cnstal Bay, 1Ninncsota
Lot Block Subdivision
Date
I hereby agree that, in caw a permit is grantee], all work which shall be done and all materia), 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: Fee $
InstaU
sewage disposal systems: Fee $
Re
nst /�
water supply systems: Fee $1 ��_____�
Repaid
Fee$ turd
Total amount paid to Village....... $__1
CD
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Signature of applicant
Signature of Village Official