HomeMy WebLinkAbout1964-06-03 Permit, Septic System #527Village Permit NO 527
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Owner �� �`' '�- C-C_. � n -- Address es '5--
State License No Village License No -
GENERAL PERMIT
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VILLAGE OF ORONO
Crystal Bay, Minnesota
Section No Parcel No.3 o-o-O Lot_ Block.--_ Subdivision —
Other Description:
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 sewage disposal systems: Fee $ 7
Install water supply systems: Fee $
Fee $
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Total amount paid to Village ......... $�-�
Signature of applicant
(-lic"(A" S ') I " -, #"'f , k-" -
Sigrjato-a -f Village Official