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Village Permit - 4400 <br />Conriarror Address. <br />Owner.Address 4^/ ^ <br />:• ■ <br />State License No..Village License No.>»i <br />GENERAL PERMIT <br />-i <br />♦ ,• .:> <br />/ <br />*.A <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />■ i. <br />■ . ‘ I <br />Date.X- 7- <br />Parcel No.. <br />Section No,Lot Block.Subdivisioa <br />Plat No. <br />Other Description: <br />f <br />.. . <br />■ <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 />- <br />y. <br />;V <br />Water Meter:Fee S <br />Sewer Hookup:Fee $ <br />Install Plumbing Systems:Fee S <br />Install Sewage Disposal Systems:Fee $ <br />Install Water Hookup:Fee $ <br />Install Water Supply Systems:Fee S ^ i <br />Install Sewer Hookup:Fee S <br />State Surtax:Fee S /5^ <br />Total Amount Paid to Village............:j.c, iv <br />Signature of applicant <br />Signature of Village Official