HomeMy WebLinkAbout1973-06-04 Permit, Water Hookup #3656T f^- %IK--CZ'.k.’'
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Village Permit ' -3656
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Address.
Owner.Address_f^'7 "?-OStCL
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State License No,Village License No,
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GENERAL PERMIT
VILLAGE OF ORONO
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Crystal Bay, Minnesota
Date.
Parcel No..
Lot Block Subdivision
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Plat No_
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Other Description: '
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I hereby agree .hat, in ease a permit is granted, all work whieh shall be done and all materials whieh shall be ^
;■ eomply with the Vilbge Code of Orono applieable thereto, and shall inelude all additional speeiBeations as hsted bdow. .
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Water Meter:Fee S
Sewer Hookup:Fee $
Install Plumbing Systems:Fee $
Install Sewage Disposal Systems:Fee S
Install Water Hookup Fee S
Install Water Supply Systems;Fee S
Install Sewer Hookup:Fee S
State Surtax;Fee $
Total Amount Paid to Village..................Fee S
Signature of applicant
Signature of %'illagc OfiBcial
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