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Contractor. <br />Owner <br />State License No <br />Parcel No <br />Section No_ <br />Village Permit N° 3971 <br />Address <br />Address /C <br />Village License N <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Plat No.- <br />Other Description: <br />Lot— Block Subdivisi <br />Date �- % <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 />Water Meter: <br />Fee S <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 <br />Install Wat r Supply Systems: <br />Fee S <br />Install Sewer Hookup: <br />Fee S <br />State Surtax: <br />Fee S <br />Total Amount Paid to Village........... <br />Fee S C% <br />Signature of applicant <br />Signature of Village Official / <br />C) 4 li-'e00/� <br />