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Village Pormit 3609 <br />i <br />Contractor- / Address <br />Owner� '�{ -i'X,' ����Address `f <br />State License No. Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date - <br />Parcel No. <br />Section No Lot Block Subdivision -- <br />Plat No <br />Other Description: <br />I hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be u ced, shall <br />comply with the Village Code of Orono applicable thereto, and shall include all additional specifications as listed below. <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 />Fee S <br />Fee S <br />Fee S <br />Fee $ <br />Fee S <br />Fee S TQ " lZf2 <br />Signature of applicant <br />Install Sewer Hookup: Fee S <br />Sio ature of Village Official <br />State Surtax: Fee S 11:j <br />Total Amount Paid to Village........... Fee S --� 1� f <br />