HomeMy WebLinkAbout1976-04-28 Permit, SAC #4382Village Permit N° 4382
Contractor Address
Owner Yl If at C Address C 1Le- .--e
State License
Parcel No.
Section No
Plat No
Other Description:
Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot Block Subdivisicn
Date 4 ` 2,f— 7e6
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.
Water Meter:
Sewer Hookup:
Install Plumbing Systems:
Install Sewage Disposal Systems
Install Nater 1tuokup'
Install Water Supply Systems:
Install Sewer Hookup:
State Surtax.
Total Amount Paid to Village
Fee S
Fee S
Fee S
Fee S Signature of applicant
Fee S _
Fee S
Fee S _...
Signature of Village Official
Fee S
Fee S