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1 <br />^ \ <br />f t <br />> <br />Village Permit ^ '>3776 <br />Contractor./j <br />I <br />KAArt^fi / <br />^rj'- <br />Owner. <br />) <br />i V nrr^ c J^ / 0 /! LK A' J,Address.Cc.; 4 <br />State License No.Village License No. <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date.f- .r- 7^) <br />i> ■■ f Parcel No.. <br />Section No.Lot Clodc.Sbbd ivisioa <br />Plat No. <br />Other Description: <br />m <br />I hereby agree that, in case a permit is granted, all work which shall be done and all materiak which shall be used, shall <br />comply with the Vilbge Code of Orono applicable thereto, and shall include all additional specifications as listed below. <br />_____________7.4n.______________________ <br />Vi"^ n <4 <br />Water Meter: <br />Sewer Hookup: <br />Install Flumbing Systems: <br />Install Sewage Disposal Systems: <br />Install Water Hookup: <br />Install Water Supply Systems: <br />Install Sewer Hookup: <br />State Surtax; <br />TotaJ Ainount Paid to Village <br />Fees <br />Fee S <br />Fee S <br />• • • • • <br />Fee $____________ <br />ret s fr r o <br />Fee $ ----- <br />Fee S____________ <br />Fee S <br />Fee S <br />Signature of applicant <br />Hf.'H f -/r . i, f/f