HomeMy WebLinkAbout1967-10-13 Permit, Septic System #1698f
Village Permit f^o 1698
Contractor.LjC^O
Owner.
State License No
Address.
Addres:
s____. /i-.
Village License No._
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Date.
Section No.
Parcel No..
Plat No__
Ijnt 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 V'illage Code of Orono applicable thereto, and shall include all additional specifications as listed below.
Install plumbing systems:
Install
Fee $
scNvagc disposal systems: Fee $
Signature of ajjplicant
Install
Repair water supply systems: Fee $.
Fee $_Signature of X^illage Official
Total amount paid to Village............ $_