HomeMy WebLinkAbout1972-08-31 Permit, Sewer Hookup #3277V w-^^isrni^ ^
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Villag* Pam^ f^'O 3277 li-;
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Owner—C^[flhx dTij Address—
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State License No..Village License No,
GENERAL PERMIT
VILLAGE OF ORCNO
Crystal Bay, Minnesota
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Parcel No..^ ■
r. :-v j Section No.Lot Block.. Subdivision.,C-'
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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 spcxafications as listed below.m
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Install limbing systems:
Install
I'ce $.Signature of applicant
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Repair
sewage disijosal systems: Fee $.
I •'.Install ,
Witif snp^Fee $ ^
Kcjxiir Signature of V illage Official
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Total amount paid to Village...........t ■ 0 > ^C (L
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