HomeMy WebLinkAbout1971-12-30 Permit, Water Hook Up #26362 r� !`+
Village Permit � .iry 6
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Owner KL/221r "t -- Address f'� f f r Y7
State License No
Parcel No.
Section No
Plat No
Other Description:
Village License N
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot Block 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, ar� shall include all additional specifications as listed below.
All 3f 1,63 — &A- l"9�20
lly life rk , ji� 94 hh.,4.
Install plumbing systems:
Install
sewage disposal systems
Repair
Install ho f J4
water sr
Repair
Fee $
Fee $
Fee 0
Fee $
Total amount paid to Village....... $
Signature of applicant
Signature of Village Official
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