HomeMy WebLinkAbout1986-03-14 Permit, New Water Well #8386GENERAL PERMIT
CITY OF ORONO
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( KN SI \l BA> MINM SOTA 55323
<».i:»4’3-'’357
rmpruM^rNo 8386
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Cun tractor _ ^ V> hi
Cit> License No._______/ _______
R1 MARKS and SVl C l XL COVDI I |o.\s
Aildresib
Addrr.s A^_3o0
State License No.
PikMiinpi ANDHI iiisrw D adoiiion D repair
ACKNOWLEDCtMENT
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1^1 Mihociu In «iuUi* mt pro«i«on of mr Citv
"5 An •orti h,*" *«*—■n—r» vtiii di cit> __
CO«M Mia/a* IlMitll
«•’•*«"« »« *• c..>diu..n. .1
Signatiiroof Arplk_^.y
TOTAL
State Surchar^*
Total AnuHint Paid to Cil>
Inside Piuinhinf! laiixltm^c i 1 ec S Water Well
Mechanical hqiiipment
''a ter Meter CSi/e___1
Meter#
Lee S___________
Ftf.i S
Fee S
Remote i.Mining 1 itItng Buildings
Land Alteration lExcasation,
Grading, rilling, etc 1
Munu ipal H.iter ( onneclion
[H( opper Iljl
Fee $._______Fee S
Municip.jl Se^er C onneition Lee X lire F<>e S□ pv( □( n SpnriLtt*r i
Mwa SA( { lurpe Lee % _ _____
■ ’1 iiiiiwicf irirei
Other:
Fee S
On Stif Septic Sy vlem Lee S Xtler the-fact Insestigaliun Fee X
Fee i. .
Fee
Tliis pcnnii i< not valid until the proiicr fee is paid and
it ivapptuved by an authon/ed City Otficlal.
Sipatureofriiy OlTiual
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