HomeMy WebLinkAbout1968-03-28 Permit, New Water Supply #1781State License No _______________ \/illage License No, ______________ _
C ry stal Bay, Minnesota
Parcel No, __ _ Section No __ _ Plat No ___ _
Other Description:
Lot.__ __ Block __ _
Date
Subdivisio ·.._ _____ , ______ _
I hereby agree that, in c-.1se a permit is grdntcd, all ,vork which sha11 be done and all 111aterials which sl all be used, shall
comply with the \ illage Code of Orono applicable thereto, and shall includ(.; a11 additional pecifications as listed below .
Install plun1bing systems:
Install . SC\vage di posgl te1n Fee .., ____ _
Install ply ·stern :
Total amount paid to illag� ....... .
Signature of appJic-c1nt
iguature \·illage Official