HomeMy WebLinkAbout1964-07-31 Permit, New Water Well #575• •=•■':': V'l'- ^:'^-\--- "^'i'''
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Village Pemiit N$ 575
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Address_______________________f^
State License No.
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Vilbn Ucense No.A'Cl
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
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Section No,/^__ Parcel No./ &tro Int Block Subdivision.
Other Deseripdon:
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 Village Code of Orono applicable thereto, and shall include all additional specifications as listed below.
Install plumbing systems:Fee $.
Install sewage disposal systems: Fee $
Install water supply systems:Fee ^
Fee $.
Total amount paid to Village $£t \( I / I
Signature of applicant Signature of Village Official
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