HomeMy WebLinkAbout1974-12-09 Permit, Water Hook Up #4213Village Permit --
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4213
State License No. Village License No '1
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Section No
Other Description:
Parcel No.
Plat No
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot Block Subdivision
Date A2 r / ` 7 `/
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 add" Tonal speeificetions as listed below.
5/Ir737
Water Meter:
Sewer Hookup:
Install Plumbing Systems:
Install Sewage Disposal Systems:
Install Water Hookup.
Install Water Supply Systems:
Install Sewer Hookup:
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Fee S
Fee S
Fee S Signature of applicant
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Fee S �¢
Fee S
State Surtax: Fee S Jyd
Total Amount Paid to Village........... Fee S ( 9
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Signature of Village Official
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