HomeMy WebLinkAbout1972-06-01 Permit, Sewer Hook Up #3136Village Permit ! v
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Owner. SL ^- ,+i . L it.4 ` _ Address
State License No.
Parcel No
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Other Description:
Village License No. —
GENERAL PERMIT
VILLAGE JF ORONO
Crystal Bay, Minnesota
Lot Block Subdivision
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I hereby agree that, :n rase a permit is granted, all work which shall be done and all materials which shall be used, :hall
comply with the Village Code of Orono applicable thereto, and shall include all additional specifications as listed below.
Install pl-rmbing systems: Fee $
Install s,*�M l6,
„ewage dar �stiga5: Fee $ /�' . Ur �
Repair
Install
water supply systems: Fee $
Repair
Fee $
Total amount paid to Village....... $ IC . -
Signature of applicant
Signature of Village Official
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