HomeMy WebLinkAbout1971-05-05 Permit, Water & Sewer Hookup #2687vi0s9e PwroL .. 2 6 0" 7
Address!
Address
Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date--
Parcel
ate —
Parcel No.
Section No Lot—_ Block._— Subdivision
Plat No.
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
comply with the Village Code of Orono applicable thereto, and shall include all additional specifications as listed below.
Or
At
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Install plumbing systems:
Fee $—
Install
sewage disposal systems:
Fee $—
Reprair
Install c ,
water supply sit
Fee $
Repair /1
tP
Fee $
Total amount paid to Village.......
$
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Signature of applicant
Signature of Village Official