HomeMy WebLinkAbout1964-10-15 Permit, New Water Well #661V"llage Permit N2 661
Contractor.=�—` ' _ Address —40M I --
Owner-- ---- --- - -- Addressj---------
State censc o. - ____ —_-_ Village License No._�_—
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
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Parcel 1�'0.-��_ r �
Section No Lot—_4-___ Blocky--__- Subdivision
Plat No.—t—
Other Description:
I hereby agree that, in case a permit is granted, all work shall be done and all materials which shall be used, shall
comply with the Village Code of Orono applicable ther,�to, and shall include all additional specifications as listed below.
Install plumbing systems
Install
sewage disposal systems
Repair
— water supply systems:
Repair
Fcc
Fee $—_
-- - FCC $--- -
Signature of applicant
Signature of Village Official
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otal :: nc• it paid to Villag e.......