HomeMy WebLinkAbout1972-10-27 Permit, Sewer Hook Up #3376I.Village Perm.it
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' Stat't+ License No. — Village License No —
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, \linnesota
Date
Parcel No,
Section No. Lot— Block Subdivision
Plat No _
Other Description:
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I hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be used, shall
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.` comply with the Village Code of Orono applicable thereto, and shall include al) additional specifications as listed below.
Install plunging- systems: Fee
,install
sewage di9pess Fee $
Repair
t` Install
Repair water supply systems: Fee $—_
Fee $ ..
4 Total amount paid to Village.......
Signature of applicant
Signature of Village Official