HomeMy WebLinkAbout1973-12-19 Permit, Sewer & Water Hookup #3845�w�.ytF W+""' .as��"Y`s%�yn /,.,�i�� �. �tgfi.��• ��`�+�"'�`..*�n
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Village Permit
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3845
Owner .a,t.< d ,c �c_ Address ;1
State License No. Village License No
GENERAL PERMIT
Other Description:
Parcel No.
Plat No
VILLAGE OF ORONO
Crystal Bay, Minnesota
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Date /q —? 3
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1 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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Water Meter: Fee S uro'l10
Sewer Hookup: Fee S
Install Plumbing Systems: Fee S
Install Sewage Disposal Systems: Fee S
Install Water Hookup. Fee S % rr
Install Water Supply Systems Fee S
Install Sewer Hookup. Fee 5
Ptate Surtax Fee S l f r
Total Amount Paid to Village Fee $
Signature of applicant
Signature of Village Official