HomeMy WebLinkAbout1971-12-29 Permit, Water Hookup #2991'V-'
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Village Permit r-0
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State License No,._ Villiige License No,
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GENERAL PERMIT
VILLAGE OF ORONO
Ci)'sta1 Bay. Minnesota
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Section No,
Parcel No.
Plat No,
Lot Block.Subdivisioa
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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Install plumbing systems: Fee $__________
Install
sewage dis|X)sal systems: Fee $__________
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water Fee % /^ 0
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______,0 tSdt Ll Z. Fee $___
Total amount jwid to Village...........$ !O -^3 AD
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Signature of applicant
Signature of Village Official
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