HomeMy WebLinkAbout1975-06-13 Permit, SAC #4127Contractor.
Owner.
State License No..
Section No.
Villag* Permit N® . 4127
Address.
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Village License No.
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date.
Parcel No.
Plat No—
BlocL Subdivision.
Other Description:
I hereby agree tliat, 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.
Water Meter:Fees
Sewer Hookup:Fees
Install Plumbing Systems:Fees
Install Sewage Disposal Systems:Fees
Install Water Hookup:Fees
Install Water Supply Systems:Fees
Install Sewer Hookup:Fees
State Surtax:Fee S
Total Amount Paid to Village................ Fees
Signature of applicant
Signature of Village Official
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