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r <br />Village PermU - 4172 <br />GENERAL PERMIT <br />VILLAGE OF OROMO <br />Cfystal Bay, Minnesota <br />‘ .s <br />Date.■>9- 7 S <br />Parcel No. <br />Section No.Lot BLodc Subdivision <br />Plat No. <br />Other Description: <br />I hcicby 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 />V . <br />Watfr Mcler:Fr« S <br />S«wer Hookup);Fee 1 <br />fnstari Phimbifif Systrms:Fee S <br />ln»t«I] Sewitar Di^osat Systems;Fet S <br />Insllil '^atcf Ihwkup:Fee 1 <br />InttAU Wal«f Suppty Sytftmt Fee S <br />Ibnikap:Fee f <br />Sf«t« S«ft4A Fetl <br />Amount FM to VAagr ... Fee 1 <br />Fc. J liC CO <br />Signature of ap^icant <br />1 <br />Signature of ViUage <br />• .) /r{