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Village Permit <br />3723 <br />r <br />Contractor � 14Address <br />S <br />Owner Address <br />State License No. Village License No_ <br />Parcel No. <br />Section No <br />Plat No <br />Other Description: <br />GENERAL PERMIT <br />VILLAGE OF O.RONO <br />Crystal Bay, Minnesota <br />Lot Block Subdivision <br />I hereby agree that, in case a permit is : ftd, 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 />Fee S <br />Sewer Hookup: <br />Fee S <br />Install Plumbing Systems: <br />Fee S <br />Install Sewage Disposal Systems: <br />Fee S <br />Install Water Hookup: <br />Fee S <br />Install Water Supply Systems: <br />Fee S �L C <br />Install Sewer Hookup: <br />Fee S <br />State Su; tax: <br />Fee $ _,(� <br />Total Amount Paid to Village........... <br />Fee S <br />Signature of applicant <br />Signature of Village Official <br />