HomeMy WebLinkAbout1973-06-14 Permit, New Water Well #3672YIN111110 Permit
Owner to Y J ry
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Address - - - -
Statc licensc No. _ Villose License No
GENERAL PERMIT
.VILLAGE OF ORONO
Clystal NY, Minnesota
Da
Parcel No.
Section No Low_ 61
Snbdi
Plat No
Other Description:
1 hereby agree that, in case a permit is gtanted, all work which shall be done and all materials which $611 be
of Oro
comply with the Village CoOrono a used, shall
applicable thereto` and shall include all additimW speei6catk m as listed below.
Water Meter:
Fee S
Sewer Hookup:
Fee S
Install Plumbing Systems:
Fee S
Install Sewage Disposal Systems:
Fee S
Install Water Hookup:
Fee S
Install Woter Supply Systems:
Fee S
Install Sewer Hookup:
Fee S
State Surtax:
Fee S
Total Amount Paid to Village...........
Fee S
Signature of appliatnt
Signature of Village Oscial