HomeMy WebLinkAbout1969-08-20 Permit, Water Supply Hook Up #2229Village Permit N 2 2229
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Contractor �� A dd r es
Owner lcet� cl en C f Clti. ; address A 7Y'6 eJ61 &te'
State License
Parcel No
Section No
Plat No
Other Description:
Village License No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot Bloch Subdivision
Date
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.
i-Ao_ 4
Install plumbing systems: Fee $
Install
sewage disposal systems: Fee $
Repair
Install
j� ter sup ly systems: Fee $
Repeir
Fee $ 50
Total amount paid to Village.......
Signature of applicant
Signature of Village I
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