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Villa" PKmit 3775 <br />Contractor,�66- Z�2 �2 .J� Address -)N <br />Owner_1jr1G�' I ^ r /� .�-L . Address ( =�` [ i4 4 <br />State License No. Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Parcel No <br />Section No Lot Block Subdivision — <br />Plat No <br />Other Description: <br />Date GrLL— Z-- ? <br />1 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 />Fee S <br />Fee S <br />Fee S <br />Fee S Signature of applicant <br />Fee S <br />Fee S OJT ul% <br />Fee 5 <br />Signature of Village Official <br />Fee 5 a J <br />Total Amount Paid to Village........... Fee $ 1,) -;r C) <br />