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Contractor�' �' c? /a �G C / Add r - <br />Owner Address— <br />State <br />ddress <br />State License No <br />Parcel No. <br />Section No <br />Plat No <br />Other Description: <br />Village Permit N° 4343 <br />Village License No //X 4 <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot Bloom Subdivision <br />Date- <br />Parcel <br />ate <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 />Water Meter: <br />Fee S <br />Sewer Hookup: <br />Fee S <br />Install Plumbing Systems: <br />Fee S <br />Signature of applicant <br />Install Sewage Disposal Systems: <br />Fre S <br />Install Water Hookup: <br />Fee S <br />Install Water Supply Systems: <br />Fe: � 12ele-1 <br />Install Sewer Hookup: <br />Fee S <br />Signature of Village Official <br />State Surtax: <br />lee S <br />Total Amount Paid to Village........... <br />Fre S <br />