HomeMy WebLinkAbout1973-05-30 Permit, Septic System #3651\
Villag* Ptrmit ..M m 3551
itacMTy^Ci'^^. iLu^r^^Address
Owner.C^2^3_J_Address.
-----------^«9 S t
rrf-.,/C/-r~~^^*^
/
State License No..Vilbge License No.
%
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota . I
Date.i - j cJ / yj*
Section No.
Parcel No.
Plat No—
BV Subdivision.
Other Description:/
I hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be used, shall J
comply with the Vilbge Code of Orono applicable thereto^ and shall include all additional specifications os listed bdow.
i «/j
Water Meter:Fees
Sewer Hookup:Fees
Install Plumbing Systems:Fee S
Install Sewage Disposal Systems:Fee S /o-lV
Install Water Hookup:Fee S
Install Water Supply Systems:Fees.
Install Sewer Hookup:Fees
State Surtax:Fees . T J
Total Amount Paid to Village ....................Fees./cf,
Signature of applicant
0 ' 1
Signature of Vilbge Official
y
. dy, ----^