HomeMy WebLinkAbout1981-10-28 Permit, Septic System #6525City Petmit 6525
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State Liceme No---------------------------------
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.Gty License No..
GENERAL PERMIT
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PUcel No--------
Section No.___________Lot.
Pbt No_______
Other Description:
Crystal Bay, Minnesota
473-7357 nat>i /O — \
Block..Subdivision.
I hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be used,
shaB comply with the City Code of Orono applicable thereto, and shall include all additional specifications as listed
below.
30{Q in
Water llRlcr:
Sewer Hookup: (City)
laalatmiimbiiicSytUins:
iMtal Scwape Disposal Systems:
IftttaS Water Hookup: (City)
inauril Water Supply Systems: (WeU)
SAC
State Surtax:
Fees___
Fees___
Fee$_^___
Fees
Fees____
Feel.___
Feel____
Fees
SignaturMf applicant
Total Amount hid to City.............. Fee$
Code: WMte-File Copy; Canaiy-lnipectot’t Copy; Pink-Finance Copy; Gold-Applicant ’s Receipt
Signatur|8^fCitvOmclat^ I y
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