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Village Permit N° 4152 <br />r <br />Cont actorl" 1 ' '4'-tt <br />Addres <br />Owner6/14� Address t0C if e A—if/ L -- <br />State License No. _ Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date <br />Parcel No. <br />Section No Lot— Block_ Subdivisi <br />Plat No. <br />Other Description: <br />I hercbtl 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 <br />�japplicable <br />�thereto, and shall include all additional specification as listed below. <br />5IJ� <br />— ---------�_! — -- <br />Water Meter: <br />Sewerllookup: <br />Install Plumbing Systems: <br />Install Sewage Disposal Systems <br />Install Water Hookup: <br />Fee S <br />Fee S <br />Fee S <br />Fee S <br />Fee S <br />Install Water Supply Systems: Fee S <br />Install Sewer Hookup: Fee S <br />State Surtax: Fee S <br />Total Amount Paid to Village........... Fre 5 <br />Signature of applicant <br />Signature of Village ffrcial <br />C <br />