HomeMy WebLinkAbout1966-07-06 Permit, Water Well Repair #1186Umftactor—�L-
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State License No ___
Parcel No.
Section No
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Village Liccusc No.
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Plat No..�
Other Description:
Village Permil No 1186
Date -7 16 A/0
Lot— Block— Subdivision--- ----
I
ubdivision—_._._.__-
I hereby agree that, iu case a permit is granted, all work which shall be done and all materials which shall be used, shall
comply with the N'illagc Code of Orono applicable thereto, and shall include all additional slxcificatiuus as listed belaw.
Install plumbing systems
Install
sewage disposal systems:
Repair
Install
syr supply systems:
Repair
Fee
Fee $
[-'cc $
Fee $-- -
Total amount paid to Village:........ 5---- - -- —_..
Signaturc of applicant
Signature of Village Oficial