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• �1.'�iT~" -.� .. t.y; Kr 'R: "ai a � ��-�^ '�h.�a•��:• !./•. �'.}"!,> -d fa,.4k����'-�• -wqr .t+�r" <br />Village Permit <br />Contractor / �� Address �� ..L 4 <br />Owner J Addresses <br />State License N <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 />Lot_ Block Subdivision <br />3'730 <br />Date � — 2 4 � 7,3 -- <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 applicable thereto, and shall include all additional specifications as listed below. <br />2 D d2 / _ X <br />a�a-::e&z 27�v.2 f- <br />r <br />Water Meter: Fee S <br />Sewer Hookup: Fee S <br />Install Plumbing Systems: Fee S <br />Install Sewage Disposal Systems: Fee S ature of appliCaat -� <br />(� _ i <br />Install Water Hookup: Fee S // I _I tY� <br />Install Water Supply Systems: Fee S <br />Install Sewer Hookup: <br />Fee S <br />State Surtax: Fee S <br />Total Amount Paid to Village........... Fee S <br />/a ' 4-v <br />Signature of Village Official <br />�f <br />