HomeMy WebLinkAbout1968-04-26 Permit, Water Supply Hookup #1797VilUge P«rmil N2 1797
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State License No_Village License No.4
GENERAL PERMIT
VILLAGE OF OBONO
Ciystal Bay, Minnesota
Section No-
Parcel No..
Pht No __
Lot-Block-Subdivision.
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Other Description:
I beieby agree tiiat, in case a permit is granted, all work wbidi sliall be done and all materials which shall be used, shall
comply with the N'illage Code of Orono applicable thereto^ and shall include all additional specifications as listed below.
Install plumbing systems:Fee $.Signature of applicant
Install
. sewage disposal s}stcms: Fee V-Kepair
Install
Repair water suppl]^ systems: I'ec S-wafer suppf]^
l4iU)Fee S.Signature of N'illage Official
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Total amount paid to V illagc-:*...........S-----------'1
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