HomeMy WebLinkAbout1972-07-06 Permit, Water Hookup #3191*>-■
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,Village Permit M5 . 3191 ^ (!:ii
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Owner./ (/_/) A /A /cT ^ <y Address.
State Lieense No..Village License No.
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GENERAL PERMIT
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-« *VILLAGE OF ORONO
Crystal Bay, Minnesota
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\Date.7' Ir-
Parcel No..
Section No,Lot Block.Subdivfsioa
Plat No.
Other Description:
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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.
__________________________________________________________ _____________________________________________________________________________________________________________________
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Pec $.Install plumbing systems:
Install
sewage disposal s)^tcms: Fee $
Repair
Install
Signature of applicant
Fee $ If' -C
o Signature of Village Official
I’ CC $
Total amount paid to Village..........$
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