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1979-10-15 Permit, Repair Septic System #5770
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200 Bederwood Drive - PID: 05-117-23-12-0028
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1979-10-15 Permit, Repair Septic System #5770
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Last modified
8/22/2023 5:16:21 PM
Creation date
1/27/2023 10:23:24 AM
Metadata
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Template:
x Address Old
House Number
200
Street Name
Bederwood
Street Type
Drive
Address
200 Bederwood Dr
Document Type
Septic
PIN
0511723120028
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Contractor. <br />CltyPferaiitN? . 5770 <br />Address. <br />Owner Arfdremt <br />State License No. _____________________________City License No. <br />GENERAL PERMIT <br />CITY OF ORONO <br />Crystal Bay, Minnesota <br />473-7357 <br />Date. <br />Parcel No_____ <br />Section No-----------------Lot.Block..Subdivision. <br />Plat No. <br />Other Description: <br />1 hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be used, <br />shall comply with the Qty Code of Orono applicable thereto, and shall include all additional specifications as listed <br />below. <br />/I <br />Wiitr Met«r: <br />Sewer Hookup: (City) <br />IntUQ Fluaibiog Systemi: <br />Inftel Sewage Dlipoitl Syitemi: <br />InttaO Water Hookup: (City) <br />Install Water Supply Systems: (Well) <br />SAC <br />feel. <br />Feel. <br />Feel. <br />State SurUx: j <br />fte % <br />Feel___________ <br />Feel___________ <br />Feel___________ <br />f <br />Sii^naui^f City Omcial y J <br />Total Amount Paid to City.....................Fee I <br />Code: White^File Copy; Canary-Inspector's Copy: Pink-Finance Copy. <Sold-Applk:ant*s Receipt
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