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�w�.ytF W+""' .as��"Y`s%�yn /,.,�i�� �. �tgfi.��• ��`�+�"'�`..*�n <br />Con <br />Village Permit <br />4.:=7JF. <br />3845 <br />Owner .a,t.< d ,c �c_ Address ;1 <br />State License No. Village License No <br />GENERAL PERMIT <br />Other Description: <br />Parcel No. <br />Plat No <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />,q,�.., — I .,,,....,.� ....40+, <br />Date /q —? 3 <br />; rJ <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 />,�r'�. �rr�.1r — ✓ICC'. ��L �yn��� . <br />0Z2.(d8 <br />Water Meter: Fee S uro'l10 <br />Sewer Hookup: Fee S <br />Install Plumbing Systems: Fee S <br />Install Sewage Disposal Systems: Fee S <br />Install Water Hookup. Fee S % rr <br />Install Water Supply Systems Fee S <br />Install Sewer Hookup. Fee 5 <br />Ptate Surtax Fee S l f r <br />Total Amount Paid to Village Fee $ <br />Signature of applicant <br />Signature of Village Official <br />