HomeMy WebLinkAbout1969-05-12 Permit, Water Supply Hookup #2110■ V ' t-'y|jy ^--Ti. riTj- r ‘lig V ——^■ -v^r^ \ T^;--------- .Y5. •-----■ -• •
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Village Permir N§ 2110
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State License No.Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date.
Parcel No.
Section No.Lot Blodc Subdivision
Plat No,
Other Description:
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I hereby agree that, in case a permit is granted, all work which sliall 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:
Install
sewage disposal systems:
Repair
Install
<W^er supply systems:
Repair
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Fee $L Signature of ap{dicant
Fee $.
Fee %.
Fee $.
Total amount paid to Village..........
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Signature of Villa^ Official
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