HomeMy WebLinkAbout1981-12-09 Permit, Land Alteration #6589City Permit N? 6589
Contractor Aaj7L 61M�e- kAddress
Owner �� � Address V_/S' �c:�/ za / LI,/ -1
State License No. City License No.
Parcel No,
Section No. Lot
Plat No.
Other Description:
GENERAL PERMIT
Cl'i'Y OF ORONO
Crystal Bay, Minnesota �f /
473-7357 Date
Block
Subdivision
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 City Code of Orono applicable thereto, and shall include all additional specifications as listed
below.
Water Meter:
Fee S
Sewer Hookup: (City)
Fee S
Install Plumbing Systems:
Fee S
Install Sewage Disposal Systems:
Fee S
Sig uje of eplican
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Install Water Hookup: (City)
Fee S
Install Water Supply Systems (Well)
Fee $ _
SAC
Fee $
Signs of City Official"--)j"
s
State Surtax:
Fee $
/
Total Amount Paid to City . .. . . ....
Fee $
Code: White -File Copy; Canary -inspector's Copy; Pink -Finance Copy; Gold -Applicant's Receipt
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