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Contractor Add <br />rp" A, 4 <br />Owner <br />Acid <br />Statc Lieensc No. Village License No. <br />Parcel No. <br />Section No�. _ <br />Plat No <br />Other Description: <br />viusi. P..wijr NO* 4139 <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot Bloc Subdivision <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 />coni pl y with the Village Codc of Orono applicable thereto, and shall include all additional a, r c; ifica tions as listed below. <br />Watet Meter <br />Se w r r Hook u p <br />InAA11 PIumbins Systtms <br />I n%tall Sew age DIN". i Systems <br />Install Fater t1m*tEp <br />In%tall WAtet Supj1y Svstrmm <br />ln%Wl iwwrr HimAup <br />Statr sesta% <br />1 Ot ai AMA )Un I Pay! 10 k 111a#C <br />F -e S <br />Fee S <br />Hee S <br />Fee S <br />Fee S <br />V cc t <br />1 CC <br />01, <br />Suture c.+f applicant <br />t <br />.�..... • -+IIS <br />