HomeMy WebLinkAbout1969-01-23 Permit, New Water Well #2043Contractor Address &(r
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State License
Parcel No.
Section No
Plat No
Other Description:
Village License No,_— _
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Village Permit Ng 2043
DateL- 'L� -
Lot_ _ Block—_ . Subdivision--
I
ubdivision __-_
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:
lilt"Wil scm•age disp,sal systems:
R
water supply systems:
Repair
Fcc $--- -- ---
Fee $ - - -
Fee , D
Fee �__ i - T /
n
Total amount paid to \ illage.... S -t. C 0
Signature of applicant
siguato►c 14 \ illagc Ofire]*l
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