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HomeMy WebLinkAbout1972-11-10 Permit, Water Supply Hookup #3407u Village Permit ' 37 ff -r •1 f-� ContractoAddress U tl** c R. �'?� C/l.. Owner Address : =- ' � �' � `� 1 � /(y, State License Parcel No. Section No Plat No Other Description: Village License No GENERAL PERMIT VILLAGE OF ORONO Crystal Bay, Minnesota Lot Block Subdivision y Date—// / E' _" 11' 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: Install sewage disposal systems Repair Fee $ Fee $ Install 111 water st Fee Repair Fee $--- 1 Total amount paid to Village....... $ 6 -7 Z Signature of applicant Signature of Village Official i