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village permit N° 3904 <br />Contractor Address --A/ - <br />Owner Address 6 <br />Statc license No. Village License No <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 />Date SLy -7AI <br />1 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 additiowl specifications as listed below. <br />519 741 <br />vy L 6 g';,4 1 <br />Water Meter: <br />Fee S -a- <br />Sewer Hookup: <br />Fee S <br />Install Plumbing Systems: <br />Fee S <br />Install Sewage Disposal Systems: <br />Fee S <br />Install Water Hookup: <br />Fee S 0 ' <br />Install Water Supply Systems: <br />Fee S <br />Install Sewer Hookup: <br />Fee S <br />U <br />State Surtax: <br />Fee S <br />Total Amount Paid to Village........... <br />Fee S -- D <br />Signature of applicant <br />Signatage re of VillOfficial <br />C/u1' K C14441—� <br />