HomeMy WebLinkAbout1969-12-02 Permit, Water Supply Hookup #2362■1
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Village Permif N$ ?362
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State License No,Village License No.
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i*GENERAL PERMIT
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VILLAGE OF ORONO
Crystal Bay, Minnesota
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Date cy-y-L^
:«r Parcel No.
Section No.Lot Block
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Subdivision
Plat No.
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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, shaU
comply with the Village Code of Orono applicable thereto, and shall include all additional specifications as listed below.
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FeeInstall {dumbing systems:
Install
sewage disposal systems; Fee $.
Repair
Install
water supply systems:
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Signature of applicant
Fee $.
LX Fee $.n
Total amount paid to Villa^.......... $.
Signature of Village Official
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