HomeMy WebLinkAbout1972-11-13 Permit, Sewer Hook Up #3415Village Permit 3 415
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Owner- Address a.
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State License No. Village License No._ t
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GENERAL PERMI r r
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VILLAGE OF ORONO -
Crystal Bay, Minnesota
Parcel No
Section No
Plat No
Other Description:
Lot— Block_— Subdivisi
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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, and shall include all additional specifications as listed below.
Install plumbing systems: Fee $
Install p,
sewage div;wi Fee $
Repxlir
Install
water supply systems: Fee $
Rclx� i r �
—_..._. Fee $ JU
Total amount paid to Village....... $;�1�
Signature of applicant
Signature of Village Official