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Ccn tractor _ Address <br />Owner — <br />Add <br />Village Permit NO 4134 <br />State License No. I Village License No <br />Parcel No. <br />Section No <br />Plat No <br />Other Description: <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Loi Block Subdivision <br />Dat _ ' all <br />1 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 ai listed below. <br />a J� � <br />l � <br />/I&'Jp <br />'r <br />OLze <br />vfc 0111 1-0 <br />� 31c"�o.� <br />1 <br />i� <br />Water Meter: Fee S <br />Sewer Hookup - <br />Install Plumbing Systems: <br />Install Sewage Disposal Systems: <br />Install Water Hookup <br />Install Water Supply Systems <br />Install Sewer Hookup <br />State Surtax <br />I ut.d Amount Paid to Vial igc <br />Fee S <br />Fee S <br />Hee S <br />Fee S <br />Fcc S <br />V. cc <br />Signature of applicant <br />Signature of \'illW Official <br />