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HomeMy WebLinkAbout1972-07-21 Permit, Sewer Hookup #3218w A Village Permit [ 3218 GENERAL PERMIT /■VILLAGE OF ORONO Crystal Bay, Minnesota I Date.1. 7. ;-7 7^ Parcel No.. .Section No,Lot Block Subdivision. Plat No. Other Description: I hereby agree tliat, in ease a permit is graiucd, all work which shall be done and all materials which shall be used, shall * l comply with the Vilbgc Code of Orono applicable thereto, and shall include all additional specifications as listed below. Install Install lU'pjif Install plumbing s)‘stcms:Fee $------- Fee ^ jjQ ' (D ^ Signature of applicant KL|uir SAsitcr staple Fee $. Fee S-.be Total amount paid to Village..........$. Sig.'iaturc of Vilbge Official /t)i // ^// 1 M M 'j. •4 ^ •■4 ► 1 * i ■t > r. H I a>1