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ContractoT.4.L, <br />Owner , 1 . <br />Vills9. Permit <br />Addren <br />1011,- <br />Address <br />State License No. Village License No <br />Parcel No. <br />Section No <br />Plat No <br />Other Description: <br />GENERAL PERMIT <br />VILLAGE OF OAQNO <br />Crystal Bay, Minnesota <br />Lot Block Subdivision <br />D2te.._&-- A'7- 7a <br />I hereby agree that, in case a permit is granted, 211 <br />work which <br />shall <br />be done: <br />and all materials which shall <br />be used, shall <br />comply with the Village <br />Code of Orono applicable <br />thereto, and <br />shall <br />include <br />all additional specifications as <br />lasted below. <br />Water Meter: <br />Sewer Hookup.- <br />Install <br />ookup: <br />Install Plumbing Systems.- <br />Install <br />ystems: <br />Install Sewage Disposal Systems: <br />Install Water Hookup: <br />Install Water Supply Systems: <br />Install Sewer Hookup: <br />State Surtax : <br />Total Amount Paid to Village <br />17ce S . <br />Fve S <br />Fee S <br />Fee S <br />Fee S <br />Fee S summanow <br />Fee S <br />Fee S <br />Fee Szr <br />1 <br />Signature of applicant <br />Signature of Village Official <br />