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■3f<9L <br />V <br />r <br />CityPfcrmit N^9 6587 <br />Contractor ^Lt Address <br />Owner <br />State License No. <br />Parcel No. <br />Section No. <br />Plat No. <br />Other Description: <br />Address ^ ^ cP <br />City License No. <br />GENERAL PERMIT <br />cmr OF ORONO <br />Crystal Bay, Minnesota <br />473-73.‘)7 <br />Date ^ <br />Lot Block Subdivision <br />ill be used, <br />ns as listed <br />4J/ <br />I hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be :d, <br />shall comply with the City Code of Orono applicable thereto, and shall include all additional specifications as listed <br />below. <br />c ^2n. 00 <br />I /dO,or>o (Uu.l\ 'r^/QO <br />’V Witer Meter:fee S <br />Sewer Hookup: (City)Fees <br />tniUlI Plumbirig Systeir.s:Fee S <br />IiutAll Sewage Disposal Systems:Feel ________ <br />Install Water Hookup: (City)1 ee S <br />Install Water Supply Systems: (Well)Feel <br />SAC Fee S <br />State Surtax;Fee $ . <br />Total Amount Paid to Qty................. . Fa 1 Ho , <br />Signa^re of appiicMt <br />Signatur® of City Official <br />____