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Village Permit N? - 4324 <br />min : �' %�:Address <br />Contractor -� -- , <br />Owner Address_ 3 <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 />2rystal Bay, Minnesota <br />Lot— Block Subdivision <br />i Dat7� <br />e ��—' <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 />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 />Total Amount Paid to VIILILr <br />Fee S <br />Fee S <br />Fee S <br />Fee $ <br />Fee S <br />Fee S <br />Fee S <br />4,- <br />Fee S <br />Fee S <br />Signature of appli_ant <br />Signature of Village Official <br />