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t. <br />\ <br />Village Permit - 3921 <br />Contractor.0^Address. <br />Owner.Address.R~ej <br />State License No..Village License No. <br />■9^ <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date.S'^-7^ <br />Parcel No.. <br />Section No,Lot Blodc.Subdivisioa <br />• *'"r <br />>■ •' <br />Plat No_ <br />Other Description: <br />1 hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be used, shall <br />complv with the Village Code of Orono applicable thereto, and shall include all additional specifications as listed below. <br />• i <br />Install Plumbing Systems; <br />Install Sewage Disposal Systems <br />Install Water Hookup: <br />Install Water Supply Systems: <br />Install Sewer Hookup; <br />State Surtax: <br />Fee S <br />Fee S Signature of applicant <br />Fee $ /O ' <br />Fee S____________ <br />Fee S ......-....... <br />Fee $i-.aa <br />Total Amount Paid to Village ....................Fee S