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Village Permit 3770 <br />Contractor � '' ' � � r -`� �B` Address <br />Owner ' !_ Address <br />State License No. — Village License No <br />Parcel No. <br />Section No <br />Plat No. <br />Other Description: <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot Block Subdivisi <br />Date n ,Z 7 — 1 3- <br />I hereby agree that, in case a permit is granted, all work which shall begAone 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 />37�7/-/ r <br />J <br />--- Ji 7s3 a .3 <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 />State Surtax: <br />FeeS_ <br />�r <br />Fee $ <br />Fee S _ <br />Fee $ Signature of applicant <br />Fee $ ZL • C <br />Fee S <br />Fee S <br />Fee S <br />C <br />Total Amount Paid to Village........... Fee <br />Signature of Village Official <br />