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State License No._
Section No
Other Description:
Village Permit
3701
Addressa_
Address zZr,
Village License No_
GENERAL PERMIT
VILLAGE OF ORONO
Crystal Bay, Minnesota
Parcel No. —
Plat No
Lot Block-- Subdivision
Da
I hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be used, shall
comply with the Village Code of Orono applicable thereto, and shall include all additional specifications as listed below.
Water Meter:
Sewer Hookup:
Install Plumbing Systems:
Install Sewage Disposal Systems
Install Water Hookup:
Install Water Supply Systems:
Fee S
Fee S
Fee S
Fee S
Fee S Ir. r' L
Fee S
Install Sewer Hookup: Fee S _
State Surtax: Fee S
Total Amount Paid to Village........... Fee S
Signature of applicant
Signature of Village Official A