HomeMy WebLinkAbout1972-11-13 Permit, Sewer Hook Up #3414Village Permit
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State License No. Village 1 ense No.
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date
Parcel No.
Section No Lot— Block.-- Subdivision
Plat No
Other Description:
I hereby agree that, in case a permit is granted, ali 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 additional specifications as listed below.
Install plumbing systems: Fee $
Install �.
sewage dis s: Fee $�C
Repair
Install
water supply systems: Fee $
Rclxur �
-- - -- ---- _ .. _� `fir Fee $�...CS�'
Total amount lx6d to Village....... $
Signature of applicant
Signature of Village Official
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