HomeMy WebLinkAbout1968-09-03 Permit, Septic System #1943Village Permil N° 1943
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Contractor /'t /// I/
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Owner—_ Address 2�,An
State License
Parcel No.
Section No_
Plat No
Other Description:
Village License
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Lot Block_ Subdivision
Date_ c ' f
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 $ —
s
sewage disposal systems: Fee $0/0, Q
Repair
Install
water supply systems: Fee $ _
Repair
— — Fee 5- ---
Total amount paid to Village ........
Signature of applicant
Signature of Village Official
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