Laserfiche WebLink
City Petmit 6525 <br />fVmtiactnr VA/tfi^<^gJ7 <br />OwtiPr (Jgki^i^ <br />State Liceme No--------------------------------- <br />.AddressTWrt.VL . tAl4 <br />. Address. <br />-h <br />/4g<U <br />.Gty License No.. <br />GENERAL PERMIT <br />cny OT <br />PUcel No-------- <br />Section No.___________Lot. <br />Pbt No_______ <br />Other Description: <br />Crystal Bay, Minnesota <br />473-7357 nat>i /O — \ <br />Block..Subdivision. <br />I hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be used, <br />shaB comply with the City Code of Orono applicable thereto, and shall include all additional specifications as listed <br />below. <br />30{Q in <br />Water llRlcr: <br />Sewer Hookup: (City) <br />laalatmiimbiiicSytUins: <br />iMtal Scwape Disposal Systems: <br />IftttaS Water Hookup: (City) <br />inauril Water Supply Systems: (WeU) <br />SAC <br />State Surtax: <br />Fees___ <br />Fees___ <br />Fee$_^___ <br />Fees <br />Fees____ <br />Feel.___ <br />Feel____ <br />Fees <br />SignaturMf applicant <br />Total Amount hid to City.............. Fee$ <br />Code: WMte-File Copy; Canaiy-lnipectot’t Copy; Pink-Finance Copy; Gold-Applicant ’s Receipt <br />Signatur|8^fCitvOmclat^ I y <br />//