HomeMy WebLinkAbout1970-12-28 Permit, Water & Sewer Hookup #2634Village Permit - `' 4
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Contractor Address
Owner k 4 C• L -L2.. � 41.2-rkt Address � (" l
State License N
Parcel No.
Section No
Plat No.
Other Description:
Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot_ Block_._ Subdivision
Harp
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 ,Villa77rg--e Code of Orono applicable thereto, and shall i lude /a`ll addi i -inal specifications as listed below.
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Install plumbing systems: Fee
Install
sewage disposal systems: Fee $
Repair
lnstall
water supply Fee ^ O
Rclx� it
Fee $ 1C C t,
Total amount paid to Village....... $�.L1 n
Signature of applicant
Signature of Village Official