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Village Permit N° _ 4535 <br />Contractor - G!E +1 Adress��� e� I�G�sc� - 47 <br />Owner e lt��� Address ���T l'�•>A� /& _Z4-/- - <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 Blodc Subdivision <br />Date " '- 7,6 _ <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 [deter: <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 />Fee S <br />Fee S C>1 00 <br />Fee S <br />Fee S <br />Fee S <br />Signature of applicant <br />Fee S <br />Fee S <br />Fee S . sp <br />Total Amount Paid to Village.......... Fee S `15—U <br />Signature of Village Official <br />