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4 <br />Village Permit = - 3724 <br />Contractor _�__.__� �Y �f L Addr�< <br />Owner o�^ i%�� l�r z �l�,r Address.i <br />Statc Licensc 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 Bloc Subdivision <br />Date f ----1 ? — Z2 <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 additional specifications as listed below. <br />7-�s--73 <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 />Fee S <br />Fee S <br />Fee S <br />Fee S <br />Fee S Q1'ov <br />Fee S <br />Fee S /y j [/l/ <br />Fee S .1. C-Z) <br />Total Amount Paid to Village........... Fee S, <br />13 , s' <br />of <br />.( ) <br />Signature of Village Official <br />0 <br />