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r Lf e- <br />C�t <br />Contrac 0- Address <br />Owner d <br />Address <br />Village Permit <br />go)' .`JJ <br />'_ <br />State License No. I Village License No <br />Parcel No. <br />Section No <br />Plat No <br />Other Description: <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot Block_____ Subdivision <br />N? <br />4530 <br />Date <br />�-� - 7 <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 below. <br />Water Meter: <br />Sewer Hookup: <br />Install Plumbing Systems: <br />Install Sewage Disposal System. <br />Install Water Hookup: <br />Install Water Supply Systems.- <br />Install <br />ystems: <br />Install Sewer Hookup: <br />State Surtax: <br />Total Amount Paid to Village... . <br />Fee S <br />Fee S <br />Fee $ <br />Fee S <br />Fee S <br />Fee M <br />Fee SFee S <br />• S <br />Signature of applicant <br />Signature of Village Official <br />