HomeMy WebLinkAbout1975-11-10 Permit, Sewer & Water Hook Up #4256Statc License N
Parcel No.
Section No
Plat No
Other Description:
A
Village License No
Village Permit N° 4256
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot Bloc Subdivisi
Date ,/- % d 7v�_
1 liereby 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.
Water Meter:
Fee S
Sewer Hookup:
Fee S "gc 10 10
Install Plumbing Systems:
Fee S
Install Sewage Disposal Systems:
Fee S
Install Water Hookup:
Fee S
Install Water Supply Systtms:
Fee S
Install Sewer Hookup:
Fee S _
State Surtax:
Fee S Ln
Total Amount Prid to Village...........
Fee S C7
Signature of applicant
Signature of Village Official
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