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Village Permit 3339 <br />Contractor �''��tud �� Address <br />Owner f t / �(1.% Lel - A All Address 'J k- : r <br />Sate Litxrtsc No Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORORO <br />Crystal Bay, Minnesota <br />Dam /1.1 .� - ?j <br />Parcel No. <br />Section No Lot BlockSubdivisio++ <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 Village Code of Orono applicable thereto, and shall include all additional specifications as listed below. <br />Water Meter: Fee S <br />Sewer Hookup: Fee $ <br />Install Plumbing Systems: Fee S <br />Install Sewage Disposal Systems: Fee S <br />Install Water Hookup: Fee S �nn <br />Install Water Supply Systems: Fee S '' //" <br />Install Sewer Hookup: Fee S <br />State Surtax: Fee S <br />Total Amount Paid to Village........... Fee S y� <br />Signature of applicant <br />Signature of Village Oficial <br />