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Village Permit <br />Contractor'� Address� <br />Owner <br />State License No, <br />Section No <br />Other Description: <br />Parcel No. <br />Plat No <br />Address �� 0 If <br />y33t� — 5;0d 0 0 <br />Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot Bloc Subdivision <br />f <br />Dat < < 1 <br />P q <br />A � <br />.� <br />tL <br />I hereby agree that, in case a permit is granted, all <br />work which <br />shall <br />be done <br />and all materials which shall <br />be used, shall <br />comply with the Village <br />Code of Orono applicable <br />thereto, and <br />shall <br />include <br />all additional specifications as <br />listed bt,�vw. <br />• <br />I <br />Village Permit <br />Contractor'� Address� <br />Owner <br />State License No, <br />Section No <br />Other Description: <br />Parcel No. <br />Plat No <br />Address �� 0 If <br />y33t� — 5;0d 0 0 <br />Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot Bloc Subdivision <br />f <br />Dat < < 1 <br />P q <br />A � <br />.� <br />tL <br />I hereby agree that, in case a permit is granted, all <br />work which <br />shall <br />be done <br />and all materials which shall <br />be used, shall <br />comply with the Village <br />Code of Orono applicable <br />thereto, and <br />shall <br />include <br />all additional specifications as <br />listed bt,�vw. <br />Water Meter: Fee 7y.. �/ <br />Sewer Hookup: <br />Install Plumbing Systems: <br />Install Sewage Disposal Systems: <br />Install Water Hookup: <br />Install Water Supply Systems: <br />Fee $ <br />Fee S <br />Fee $ Signature of applicant <br />Fee $ ., :o e) <br />Fee S <br />Install Sewer Hookup- Fee S <br />State Surtax: Fee N <br />Total Amount Pail to Village. ....... Fee S e79 <br />Signature of Village Official <br />