HomeMy WebLinkAbout1967-05-19 Permit, Water Supply System #1482Village Permil N° 1482
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Contract Addres d// C
Owner—_ __ _ __ __ — :lddress
State ' cnse No..—_- _ -- ------ _-- _-- -- Village License No. _-- ---
Parcel No.
Section No —
Plat No. —
Other Description:
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date
Lot-------- Block.._--- Subdivision_
I hereby agree that, in case a permit is granted, all work which shall be clone and all materials which shall be used, shall
comply with `he Village Code of Orono applicable thereto, and shall include all additional specifications as listed below.
Install plumbing systc:.is:
Install
Repair sewage disposal systems
s 11
ter supply systems:
pair
Fee 5--__-- —
Fee 5--]
1' ee $—L / i _D
— -- - Fee - --
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Total amount paid to \ illagc.. ... S
Signature of applicant
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Signature of Village Official