HomeMy WebLinkAbout1972-04-19 Permit, Sewer Hookup #3063Village Permit
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Owner. �' I-iA ' IT)
Address
State License No. Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota �}
Date 7 7 Z
Parcel No.
Section No Lot Block Subdivision
Plat No —_
Other Descr' tion:
1 hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be used, shall
comply with the Village Code of Orono applicable thereto, and shall include all additional specifications as listed below.
Install plumbing systems: Fee $
Install sewage d Fee $ �C.
C 0
Repair
Install
water supply systems: Fee $
Repair
Fee
Total amount paid to Village....... $
Signature of applicant
Signature of Village Official