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(A <br />r. <br />r. <br />Village Permit N? _ 3982 <br />Contiacto Address. <br />Owner.Address.S>o6^ <br />State License No.Village License No, <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date. <br />Parcel No. <br />Section No.Lot Block.SuMivisioa .____ <br />Plat No. <br />Other Description: <br />■? <br />I hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be tist ^, shall <br />comply with the Vilbge Code of Orono applicable thereto, and shall include all additional specifications as listed below. <br />Water Meter: <br />Sewer Hookup <br />Fee S <br />Fee $ <br />KV. ri <br />Install Plumbing Systems:Fee S <br />l,15tall Sewage Disposal Systems:Fee S <br />Signature of apf^itant <br />Itiviall Water Hookup;■CC S 10.0 O <br />Install Water Supply Systems Fee S <br />Install Sewer Hookup: <br />State Surtax; <br />Total Amount Paid to Village....................Fee $ <br />Signature of Village Official <br />e^h^! t:]. i'A'-LdiK