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Village Permit 3741 <br />Contractor t,x Address_ <br />:�4aOwner Address <br />Slate License No <br />Parcel No. <br />Section No <br />Plat No <br />Other Description: <br />Village License <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot Block Subdivision <br />Date '� ` -7 <br />1 hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be used, shall <br />comply with the Village Code of Orono applicable thereto, and shall include all additional specifications as listed below. <br />Water Meter: <br />Sewer Hookup: <br />Install Plumbing Systems: <br />Install Sewage Disposal Systems <br />Fee S YG' <br />Fee S ern <br />Fee S <br />Fee S <br />Install Water Hookup: Fee $ 00 <br />Install Water Supply Systems: Fee S <br />gstall Sewer Hookup: Fee S <br />State Surtax: Fee S <br />Total Amount Paid to Village........... Fee 5 <br />Signature of applicant <br />Signature of Village Official <br />