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Village Permit - -39 17 <br />Contractor \ ( Address. <br />Owner :4 t >L/ ti C Address /9r �s+ Ldi <br />Wf1Y% <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 />Low Block Subdivision <br />Date / /— 12—'— 7 <br />1 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 311 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 />Fes. S <br />�y <br />Fee S <br />Fee S <br />Fee S <br />Fee S ,1(r� <br />Fee S <br />Install Sewer Hookup: Fee S <br />State Surtax: Fee S i Jn <br />Total Amount Paid to Village........... Fee S <br />Signature of applicant <br />Signature of Village Official <br />