HomeMy WebLinkAbout1971-09-22 Permit, Septic System #2864Village Permit N -2864
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State License
Section No
Other Description:
Village License N
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Parcel No. —
Plat No
Lot— Block Subdivision
Date
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.
/Install plumbing systems: FCC $
`- " sewage disposal systems: Fee $ IC, '0 0
Repair
Install
water supply systems: Fee $
ltcpair
_ 7, o f �r_ _ Fee $
Total amount paid to Village....... $
Signature of applicant
Signature of Village Official
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