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►?. <br />Village Permit 3823 <br />Contractor./)iP-^ 7}u u^ ^ CpJT^^h Address. <br />,^C-L/ L(J/.k-; arOwner.Address.^ 9/ n R- iL J <br />State License No.. <br />•ATOS? ' ^><ao <br />Village License No _________ <br />K^t, <br />GENERAL PERMIT <br />VILLAGE OF OROMO <br />Crystal Bay, Minnesota <br />Date://-/^ - 7^ <br />Parcel No.V <br />Section No.Lot Blodc.Subdivisioa <br />Plat No. <br />Other Description: <br />. <br />I hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be used, shall <br />comply with the Village Code of Orono applicable thereto, and shall include all additional specifications as listed below. <br />zr^ <br />LA_/ <br />Water Meter:Fee $ <br />Sewer Hookup:Fee $/o . r o <br />Install Plumbing Systems: / j Fee $//.0. V... <br />Install Sewage Disposal Systems:Fee S <br />Install Water Hookup:Fee $jn.0 o <br />Install Water Supply Systems:Fee S. <br />Install Sewer Hookup:Fee S <br />/. <br />O A <br />State Surtax:f Fee S <br />Total Amount Paid to Village .....................F«-‘e U-,o <br />Signature of applicant <br />1 <br />»4 <br />\ <br />•ii <br />,V.' ' <br />- fl <br />•I <br />A <br />1 <br />Signature of Village Official <br />’/-f. <br />fi rtf*.