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HomeMy WebLinkAbout1971-11-02 Permit, Sewer Hookup #2905t 3 vYl.o. p.r�il 2 905 Contrietot Add WOW 01Owner— �� � C` - I �- � c. Add / ,� L�' � �� � �►�¢. � __ �'��c.. State tkense No. Village License No Parcel No. Suction No Plat No Otlwf Description: GENERAL PERMIT VILLAGE OF ORONO Crystal Bay, Minnesota 1: -7 f Date �:---- ----- ---- Lot Block Subdivision .� I hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be used, sban comply with the Village Code of Orono applicable thereto, and shall include all additional specifications as hsftd beloNr0 Install plumbing systems: Fee S -- Install ,Install WWARC 1450M Fee $ Reif I mia ll WatCf %11ppl% sy%terns : Fee �. _�.,,.�..,e...r..��...�. Rquif Frc�� Total ansc unt prKI to Villagt' Signature of applicant Signaturc of Village o ficid J � 1