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k.;' • <br />•H-f Village Permit N? I' 4520 <br />Contiactor.Address^ <br />Owner_____ <br />State License No______ <br />Ad«trg« <br />Village License No. <br />GENERAL PERMIT . <br />i <br />'r^.- <br />■•tT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date:- <br />Section No. <br />Parcel No. <br />Plat No- <br />Subdivision. <br />Other Description:r -V <br />I hereby zg'cc 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 speciheations 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 Village. .. <br />Fee $ <br />Fees <br />Fees <br />Fee S <br />Fees___________ <br />Fees___________ <br />Fees___________ <br />Fee S_ <br />Signature of applicant <br />Signature of Village OfiBcial <br />Fees