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Village Permif, 3764 <br />Contractor Address�,. <br />Owner :fl 4 4 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 />Date 7 <br />Lot Block Subdivision <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 />Sewerliookup: <br />Install Plumbing Systems: <br />Install Sewage Disposal Systems <br />Install Water Hookup: <br />Install Water Supply Systems: <br />Install Sewer Hookup: <br />Fee S <br />Fee S <br />Fee S <br />F« $ Signature of applicant <br />Fee S <br />Fee SjD �tl <br />Fee $ <br />State Surtax: Fee S <br />'total Amount Paid to Village........... Fee S <br />Signature of Village Official <br />