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Village PermO .: 3375 <br />Contractor Addresses <br />Owner �, , Q 6..cYL- Address <br />Statc License No. Village License No <br />3 <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 Block Subdivision <br />/2 2 V-1 <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 <br />� applicable thereto, and shall include all additional specifications as listed below. <br />ro <br />` —Z:k i <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 />Fee S <br />Fee S <br />Fee S <br />Fee S <br />Fee S <br />Fee S _ <br />Fee S <br />State Surtax: Fee S <br />Total Amount Paid to Village........... Fee S ' <br />Signature of applicant <br />Signature of Village Official <br />i <br />