HomeMy WebLinkAbout1977-06-29 Permit, Septic System Repair #4850CCityPfcrmitN? . 4850
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GENERAL PERMIT
CITY OF ORONO
Crystal Bay, Minnesota
An-nsi
Date.77
Parcel No_____
Section No.__________Lot.Block.. Subdivision
Plat No.
Other Description:
v.f.: ,
I hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be used.
shaU comply with the Qty Code of Orono applicable thereto, and shall include all additional specifications as listed
below.
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Wi^rMftn:
Sewtr Hookup: (City)
Pliimbliif Syitems:
iMUl Scwipe DigtoaJ Syttcmi:
faistal Water Hookup: (City)
Water Supply Syitcmi: (Well)
SAC
State Surtex:
Feel_____
Fees_____
Feel_____
Fees
Feel_____
Fees_____
Fees_____
Fees ^
Slfnature of appUcaot
Signature of Gty OfTkial
ToUlAmoimiraMtoaiy...................FoeS
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Oodf: While>Fie Copy; CMury-Iiiipector*k Cbpy ; Pink-Ffaianoe Copy; Gold-Applicant’s Receipt