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Village Permit N° .- 4556 <br />Contractor �;1d " t Address — <br />Owner �/ U Z �L Address <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 />Crystal Bay, Minnesota <br />Date ;/ ✓�� <br />Lot Bloc Subdivisi <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 Codc of Orono applicable thereto, and shall include all additional specifications as listed below. <br />w/e „? 4 9 -14 <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 />Fee S ev <br />Fee S <br />Fee S <br />Fee S _ Signature of applicant <br />w / <br />nL <br />Fee - l � , A�= <br />Fee S <br />Install Sewer Hookup: Fee S <br />State Surtax: Fee S ' <br />Total Amount Paid to Village........... Fee S <br />4�— <br />Signat f Village Official <br />