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Village Permit N° _ 4 419 <br />Contractors Address -- <br />Owner �� _.J�� Address ' <br />State License No <br />Parcel No. <br />Section No <br />Plat No <br />Other Description: <br />Village License <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />LA It Block Subdivision <br />Date S -20 - 7C <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 C,de 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 />Fee S <br />Fee S R61,00 <br />Fee S <br />Fee S Signature of applicant <br />Fee S <br />Fee $ <br />Fee S <br />State Surtax: Fee S l • s 0 <br />Total Amount Paid to Village..... Fee S 36, od <br />Signature of Village Official <br />