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■■ W'l <br />■ <br />■ :, ,V-: •^ .Village Permit 3T31 4 <br />■* 4^ <br />Contractor.Address. <br />Owner.aa Address.M4!lA^f)fual <br />State License No..Village License No. <br />GENERAL PERMIT <br />VILLAGE OF OROKO <br />Crystal Bay, Minnesota <br />Date. <br />Parcel No.. <br />Section No.Lot Block Subdivisioa <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 speciheations as listed bdow. <br />Water Meter:Fees <br />Sewer Hookup:Fee S <br />Install Plumbing Systems:Fee S <br />Install Sewage Disposal Systems;Fee S <br />In'iall Water Hookup:Fee S <br />Install Water Supply Systems:Fees <br />Install Sewer Hookup;Fee S <br />State Surtax;Fee $ <br />Totil Amount Paid to Village. ..............Fee $ <br />Fee S If)' O ^ <br />/O. C0 <br />:x< <br />Signature of applicant <br />Signature of Village Official <br />'/hilfr