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YIN111110 Permit <br />Owner to Y J ry <br />dr <br />Address - - - - <br />Statc licensc No. _ Villose License No <br />GENERAL PERMIT <br />.VILLAGE OF ORONO <br />Clystal NY, Minnesota <br />Da <br />Parcel No. <br />Section No Low_ 61 <br />Snbdi <br />Plat No <br />Other Description: <br />1 hereby agree that, in case a permit is gtanted, all work which shall be done and all materials which $611 be <br />of Oro <br />comply with the Village CoOrono a used, shall <br />applicable thereto` and shall include all additimW speei6catk m as listed below. <br />Water Meter: <br />Fee S <br />Sewer Hookup: <br />Fee S <br />Install Plumbing Systems: <br />Fee S <br />Install Sewage Disposal Systems: <br />Fee S <br />Install Water Hookup: <br />Fee S <br />Install Woter Supply Systems: <br />Fee S <br />Install Sewer Hookup: <br />Fee S <br />State Surtax: <br />Fee S <br />Total Amount Paid to Village........... <br />Fee S <br />Signature of appliatnt <br />Signature of Village Oscial <br />