HomeMy WebLinkAbout1964-07-29 Permit, Repair Water Well #567,.^. ,,r.. -,,^ '■ W III'
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Village Pennit ^0 567
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State license No.—-------------------^Village LicenseJO^g~ 3n^/>iy /
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GENERAL PERMIT
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VILLAGE OF ORONO
Crystal Bay, Minnesota
Se»H:ofi No. i.6 Parcel No^^^T^ Lot Block Subdivisioa
Other Description:
I hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be used, shall comply with
the Villa^ Code of Orono applicable thereto, and shall include all additional specifications as listed below.
Install plumbing systems:Fee $.
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Install sewage disposal systems: Fee $.
supply systems:Fee $.ro-6
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Fee $.
Total amount paid to Village ............. $.
Signature of applicant Signature of Village Official
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