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4 t` <br /> r ' <br /> r+ <br /> Village •Permit <br /> N°4505 <br /> / <br /> Contractor / "iG%,�.: s [ Address - <br /> " Address , 1 c%' `!/L///G.ecc /2. <br /> Owner <br /> State License No. Village License No <br /> GENERAL PERMIT <br /> VILLAGE OF ORONO <br /> Crystal Bay, Minnesota <br /> —y n '7 — 1 <br /> Date l ' ' ' ' <br /> Parcel No. <br /> Section No <br /> Lot Block Subdivision. 1 ' <br /> 3 Plat No <br /> - <br /> -A,. i Other Description: <br /> Xp <br /> , <br /> a 4 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 Village Code of Orono applicable thereto, and shall include all additional specifications as listed below. <br /> i',..} i <br /> 4 <br /> 4 .x <br /> i ,i,s O <br /> .}ete /7/ -7-2,- ,,IV,7‘1___/‘-e--_,, „ __--s.,-.-.;.,c <br /> <. Water Meter: Fee S <br /> tSewer Hookup: Fee S ..:;;P e e 6 <br /> >. �'. Install Plumbing Systems: Fee S <br /> Signature of applicant , <br /> Install Sewage Disposal Systems: Fee S / <br /> -- <br /> Install Water Hookup: I: 1' - 6 ia.,i - <br /> .S pzett,L' <br /> t IInstall Water Supply Systems: Fee S <br /> ,i Fee S <br /> Install Sewer Hookup: Signature of Village Official <br /> 50 <br /> State Surtax: Fee S• / <br /> 4.M. Zil. S�1 , ,/ C <br /> Total Amount Paid to Village Fee S / <br />