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Village Permit <br />�,_� ern. <br />Contractor �� � � Address <br />��- <br />Owner.V�',�ti�' 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 ORONO <br />Crystal Bay, Minnesota <br />Lot Block Subdivision - <br />N� 3953 <br />Da to '7 / _ 7J <br />1 hereby agree that, in case a permit is granted, all <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 />listed below. <br />Water Meter: Fee 5 <br />Sewer Hookup: Fee S <br />Install Plumbing Systems. Fee S <br />Install Sewage Disposal Systems: Fee $ <br />Install Water Hookup: <br />Install Water Supply Systems: <br />Install Sewer Hookup: <br />State Surtax: <br />Total Amount Paid to Village <br />Fee S C, T <br />Fee S <br />Fee S <br />Fre S <br />Signature of applicant <br />Signature of4-l-4 <br />Village CffwW <br />5%4% <br />_ <br />6&A .,, -_ <br />