HomeMy WebLinkAbout1969-04-17 Permit, New Water Well #2086Village Permit No 2086
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Contractor Address—
Owner
ddress
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Owner__ ;q",/_Address ,
State License No.--- . - - -- - - Village License No. --
Parcel No.
Section No
Plat No.—
Other Description:
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bad, Minnesota
Lot. __. Block—_-- Subdivision
Datc
7—
I hereby agree that, in case a permit is granted, all work which shall uc done and Al materials which shall be used. shall
comply with the Village Code of Orono applicable thereto, and ,hall include as additional specifications as listed below.
Instill phi;.ibing systems:
Install
sewage disposal systems
Rem[
Ins . }
water supply ��stcm+.
Repair
Total amount Imid to \ iHaKv
Fee — - -
Fee
I re I r , n Ci
Fee s-
Signature of applicant
Signature of Villw ofivfl