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I <br />s� <br />.,� Contractor � V <br />Owner , 1 <br />Statc License No. Village License No <br />Parcel No. <br />Section No <br />Plat No <br />Other Description: <br />V&p PenWiw 3787 <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot Block Subdivision <br />Date / // — 7 <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 Hockup: <br />Fee S <br />Fee S <br />Fee S <br />Fee S <br />Fee S <br />Install Water Supply Systems: Fee S <br />Install Sewer Hookup: Fee $ <br />State Surtax: Fee S • �� <br />Total Amount Paid to Village........... Fee S <br />Signature of applicant <br />Signature of Village Official <br />