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4 � `+4!►iji:.`A :� <br />Village Permit 3742 <br />Contractor Address <br />Owner Address <br />State License No <br />Parcel No. <br />Section No <br />Plat No <br />Other Description: <br />Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot Block Subdivision <br />Dam Z-3/— - <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 />Water Meter: <br />Sewer Hookup: <br />Install Plumbing Systems: <br />Install Sewage Disposal Systems: <br />Install Water Hookup: <br />Install Water Supply Systems: <br />Install Sewer Hookup: <br />Fee S23 <br />lJ <br />FeeS _ <br />F� <br />eeS <br />Fee S Signatut� of applicant <br />Fee S i'U <br />_ <br />Fee S <br />Fee $ <br />Signature of Village Official <br />State Surtax: Fee S <br />Ti S L7 <br />otal Amount Paid to Village........... Fee S T � <br />