HomeMy WebLinkAbout1976-08-02 Permit, Water Supply #4530r Lf e-
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Owner d
Address
Village Permit
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State License No. I Village License No
Parcel No.
Section No
Plat No
Other Description:
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot Block_____ Subdivision
N?
4530
Date
�-� - 7
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.
Water Meter:
Sewer Hookup:
Install Plumbing Systems:
Install Sewage Disposal System.
Install Water Hookup:
Install Water Supply Systems.-
Install
ystems:
Install Sewer Hookup:
State Surtax:
Total Amount Paid to Village... .
Fee S
Fee S
Fee $
Fee S
Fee S
Fee M
Fee SFee S
• S
Signature of applicant
Signature of Village Official