HomeMy WebLinkAbout1968-12-02 Permit, Water Supply Hookup #2019Village Permit N2 2 019
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State License
Parcel No.
Section No
Plat No.
Other Description:
Village Licensc No.___ ---
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Dat �y
Lot___ — Block Subdivision —
—
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 specificatious as listed below.
Install plun►Nng systems
Install
savage disposal systems
Repair
Install
ter supply systems:
Re
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Fee $ __. _
Fee $--- —
Fee _-_--
Fee $— —se
Signature of applicant
Signature of Village Official
Total amount paid to \ illagc........ $—_