HomeMy WebLinkAbout1974-12-06 Permit, Water Meter #4212I
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State License No.___-_
Parcel No
lection No
Plat No.
Other Description:
Village License No._
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot—. __. _ Block.__—_ Subdivisi
Date /' `_ — ( I L. —
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.
Wrier Meter ' Fee S�
Sewer Hookup Fee S
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Insist %c% r H,wvki+t, Fee $
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Signature (if applicant
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Stglrature of \ illage Offu Lal