HomeMy WebLinkAbout1973-05-02 Permit, Sewage Disposal System #3906Village Permit N° 3906
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Owner � Address
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Other Description:
Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot Bloch—_ Subdivisi
Date S -,-)- ,
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.
Water Meter:
Sewer Hookup:
Install Plumbing Systems:
Install Sewage Disposal Systems
Install Water Hookup:
Install Water Supply Systems:
Fee S
Fee S
Fee S
Fee S
Fee S
Fee S
Signature of applicant
Install Sewer Hookup: Fee S
Signature of Village Official
State Surtax: Fee S
Total Amount Paid to Village.... ...... Fee S