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Village Permit 3 611 <br />Contractor lV L_t ,(� Address <br />Owner �LI�L l r Y1 Address <br />State License No <br />Parcel No._ <br />Section No <br />Plat No <br />Oilier Description: <br />Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot Block Subdivision <br />Date <br />I hcrcb}, 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 />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 />Instali Water Hookup: <br />Fe: S <br />Install Water Supply Systems: <br />Fee SInstall <br />SewerSewer Hookup: <br />Fee S <br />State Surtax: <br />Fee S <br />Total Amount Paid ti N,illagr......... <br />. Fee 1�`�_'' <br />Signature of applicant <br />Signatute of Village Official <br />