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Village Permit 812 <br />i <br />Contractor C Address <br />Owner 11 Lt - Address <br />State License N <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 />Date .'6 7 3 <br />1 hereby agree that, in case a permit is granted, all work which shall be done and all materials which s, all 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 SY"enis: <br />Fee S <br />Fee S <br />Fee S <br />Re S <br />Fee S <br />Fee S <br />Signature of applicant <br />Install Sewer Hookup Fee S <br />Signature of Village Official <br />State Surtax: Fee S 2) y/�l <br />Total Amount Paid to Villagr........... Fee 5 / ` <br />