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1966-02-16 Permit, Water Supply Repair #1054
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1966-02-16 Permit, Water Supply Repair #1054
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Last modified
3/25/2026 12:20:08 PM
Creation date
3/25/2026 12:17:26 PM
Metadata
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Template:
x Address Old
House Number
10544205
Street Name
Forest Lake
Street Type
Drive
Address
4205 Forest Lake Drive
Permit Number
1054
PIN
0711723120027
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Village Permit N2 1054 <br />Contractor ��/� /�i -- fLL_1_ ------_---- Addre�s- --:Lt o 1 0_� �---- <br />r' <br />State License No. Village License No.--_, <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date <br />Section No.-- <br />Parcel Nc,.—____-- eS Lot— -- Block__ _ _ Subdivision C� r <br />Plat No. ------ <br />Other Description: <br />I hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be used, shall <br />comply with the VTage Code of Orono applicable thereto, and shall include all additional specifications as listed below. <br />Install plumbing systems: Fee $ <br />Install <br />sewage disposal systems: Fee $ <br />Repair <br />Install <br />water supply systems: Fee $ 4 <br />epa� <br />----- Fee $— <br />Total amount paid to Village....... $ C-7. o'� <br />Signature of applicant <br />Signature of Village 0 cial <br />,�� . <br />
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