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City Pei it NO <br />('nntrartfir �Ifv t Arlrlrecc <br />Owner s : �_ -Est _ Address— <br />e7 <br />Address___tet <br />State License No. <br />Parcel No. <br />tion No. I Lot <br />Plat No. <br />Other Description: <br />City License No. <br />GENERAL PERMIT <br />GTI'Y OF ORONO <br />Crystal Bay, Minnesota <br />4"73.7357 <br />Bloc Subdivisioli ._ <br />4654 <br />Date <br />I hereby agree that, in case a permit is granted, all work which shall <br />be done and <br />all inaterials which shall <br />be used, <br />shall cc�[nply with the City Cede of Orono applicable thereto, and shall <br />iTICILI& <br />all <br />additional specification3i <br />as listed <br />below. <br /><< <br />VL � <br />WAter Meter 1 cc S <br />Sewer tlook up Wity 1 I rr S <br />Install P1umt,ing System.- f ee S <br />IWO Ill "WWW i.)tgpu±uil by'tc 111, <br />Install Watet Htx)kup: (0ty [ ire S • �e <br />In0411 W•ter S*pplt Sr$terms 04e11) 1 ee S <br />S.At [ eq. S <br />State %urta* 1 c S = �' <br />14041 #11"+1w"t Pak! !,, t Vr t e t _. .._.. <br />v <br />Signatante j Appil <br />Y►ifnatwe of t tty Offs. <br />4Jc * h; t e I dr t o". ( 'gamy 1 n %c, tot'$ t op*!, Ptnk 1 l n an- 9 t ►p y . GQW - A p k am t ' 4 R ft -*W <br />ir <br />