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Village Permit <br />ContractoAddress <br />Owner ( l Fle46 Address <br />State License <br />Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date - <br />Parcel No. r <br />Section No Lot Blocrt Subdivision <br />Plat No IV <br />Other Description: <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 />r e'7 <br />is) A!20o'� �7 <br />37Sq -7 <br />Water Meter: F 3/� ' Fee S <br />Sewer Hookup: Fee S n <br />Install Plumbing Systems: Fee S <br />Install Sewage Disposal Systems: Fee S c Signattt—vcliof applicant <br />Install Water Hookup: Fee S <br />Install Water Supply Systems: Fee S <br />Install Sewer Hookup: Fee S <br />Signature of Village Official <br />State Surtax: Fee S// <br />Total Amount Paid to Village........... Fee S_C Al <br />�� 4 yu <br />