HomeMy WebLinkAbout1968-10-23 Permit, New Water Well #19934 wVillage Permit 1993
Contractor.
Owner.
State License No.
Address.
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Village License No.
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
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Section No-
Date./f)-
Parcel No..
Plat No_
Block.Subdisision.
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Other Description:
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I heidiy agree that, in case a permit is granted, all work which sliall be done and all materials which shall be used, sliall
comply with the N'illagc Code of Orono applicable thereto, and sliall include all additional s|xxifications as listed below.
Fee $-Install (dumbing s)stems:
Install
. sewage disposal systems: Fee S_________Repair
^^^^^^waler supply systems: Fee S /O *0 ORepair
Fee ^
Total amount (xiid to Village .............$.
Signature of applicant
ipt
Signature of X'illagc Official