HomeMy WebLinkAbout1965-11-09 Permit, Repair Well #970Village Permit N9 970
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State License No
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V'illage License Nn y O
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GENERAL PERMIT
VILLAGE OF ORONO
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Crystal Bay, Minnesota
Date.
Section No.*L r> Parcel No..5^, 7.52P /_ mi//• ^ Lot__i_is=. Block ----
Plat No
Subdivision ft
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 Village Code of Orono applicable thereto, and shall include all additional specifications as listed below.
Install plumbing systems:Fee 5.Signatuie of applicant
Install , r- e-sewage disposal systems: tee
Repair
water supply systems: I'cc $_2_*—.
Repair
Fee $.Signature of Village Official
Total amount paid to Village ..........$.,u ~