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r f I ' - <br />..r . 'W-^ <br />. t <br />i % <br />/ <br />I <br />Village Permit r'-3646 <br />♦ > <br />Contractor <br />.# <br />;#•" <br />Owner. <br />fixiAr) t4l ^ <br />tlJflhfiAAd Ll47 <br />diA/^l^•l <br />Address <br />Address.P^W7 ' <br />Ip <br />. > ■ <br />State License No..Village License No. <br />GENERAL PERMIT <br />< <br />' ► <br />$ 4 <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date. <br />^ ’.V Swtion No.1-1 \ <br />|7-. V <br />Parcel No, <br />Lot Blodc.Subdivisioa <br />Plat No. <br />I <br />Other Description: <br />,0- <br />'Iff' <br />[f-, .'\ <br />\ <br />I hereby agree that, in case a permit is granted, all work v hich shall be done and all materials which sliall be used, shall <br />comply with the Village Code of Orono applicable there'.o, &nd shall include all additional specifications as listed below. <br />__________^fno ’iTu. <br />r <br />JL <br />% <br />i i <br />Water Meter;FeeSs <br />Sewer Hookup:Fee $ <br />Install Plumbing Systems:Fee $ <br />lnst«II Sewage Disposal Systems:Fees <br />lnst,3ll Water Hookup:Fee $ <br />Install Water Supply Systems:Fee S . <br />Install Sewer Hookup:Fee S <br />State Surtax:Fee S, <br />ITnt.'il Amniinf P;iiii In ...............___Fee S <br />1 V <br />* <br />------------------------------------ iA 1 <br />.1 <br />Signature of applicant <br />Signature of Village Official <br />vO <br />-CLr. r / ifiA