HomeMy WebLinkAbout1972-10-13 Permit, Septic System #3347Village Permit t i
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Owner Address
State License No..____. _ Village License No —
Parcel No.
Section No
Plat No.
Other Description:
GENERAL PERMI`r
VILLAGE CF ORONO
Crystal Bay, Minnesota
Lot— Block__ Subdivision
Date /— /9 7 Z —
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 Cod:- of Orono applicable thereto, and shall include all additional specifications as listed below.
Install plumbing systems: Fee $
Install
sewage disposal systems: Fee $ r^ r
Repair
Install
water upply systems: Fee
Repair
-- Fee
Total amount paid to Village....... $
Signature of applicant
Signature of Village official
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