HomeMy WebLinkAbout1975-01-10 Permit, Sewer Hookup #4082■h-
Viilage Parmif N? .. 4082
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Owner.
State License No..
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Village License No________________________
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date __L
Section No.
Parcel No..
Plat No-
Block.Subdivision.
Other Description:
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.
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Water Meter:Fees
Sewer Hookup:Fees it)
Install Plumbing Systems:Fees
Install Sewage Disposal Systems:Fees Signature of applicant
Install Water Hookup:Fees cUi
Install Water Supply Systems:Fees
Install Sewer Hookup:Fees
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Signature of Village Official
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State Surtax:Fee S , 6 ^
Total Amount Paid to Village ............___Fees / S'
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