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T f^- %IK--CZ'.k.’' <br />.'V <br />i <br />^ *T <br />Village Permit ' -3656 <br />Contfaclor.j"Q. aW w <br />■4- ■ <br />Address. <br />Owner.Address_f^'7 "?-OStCL <br />' /.» 1 <br />State License No,Village License No, <br />^ «* <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />% <br />Crystal Bay, Minnesota <br />Date. <br />Parcel No.. <br />Lot Block Subdivision <br />\ <br />Plat No_ <br />\ <br />Other Description: ' <br />V: V\. <br />’ . »* <br />I hereby agree .hat, in ease a permit is granted, all work whieh shall be done and all materials whieh shall be ^ <br />;■ eomply with the Vilbge Code of Orono applieable thereto, and shall inelude all additional speeiBeations as hsted bdow. . <br />. 4 t • ^ <br />f 4 • <br />Water Meter:Fee S <br />Sewer Hookup:Fee $ <br />Install Plumbing Systems:Fee $ <br />Install Sewage Disposal Systems:Fee S <br />Install Water Hookup Fee S <br />Install Water Supply Systems;Fee S <br />Install Sewer Hookup:Fee S <br />State Surtax;Fee $ <br />Total Amount Paid to Village..................Fee S <br />Signature of applicant <br />Signature of %'illagc OfiBcial <br />/hj Cc : A /l( tit A