HomeMy WebLinkAbout1968-08-06 Permit, Septic System #1890Contractor '¢— Address —
ZOwner _ Address '�
State License
Parcel No.
Section No
Plat No
Other Description:
Village Permil N! 1890
Village Liccnsc No. —
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot — Block Subdivision
Date , fie/'
I hereby agree that, in case a permit is granted, all work which sliall be done and all materials which shall be used, shall
comply with the Villagc Code of Orono applicable thereto, and shall include all additional specifications as listed below.
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Ins lum i systems:
Install
�— Wvvagc dispos-i systems
Repair _
Install
Repair water supply systems
Fcc $!';�F
Fee $—�—
Fee $ _
Fee S--
Signature of • plicant
Signature of Village Official
Total amount paid to Village........ S