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■h- <br />Viilage Parmif N? .. 4082 <br />rnnHarfrn r ^ 11 “T ^J^5 “* W g Address- <br />Owner. <br />State License No.. <br />Addr««_ i O i ^ l>^l I RJl, <br />Village License No________________________ <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date __L <br />Section No. <br />Parcel No.. <br />Plat No- <br />Block.Subdivision. <br />Other Description: <br />I 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 />oo ^ i/As p ^ r u j ^/ 4y ^uju « y <br />Water Meter:Fees <br />Sewer Hookup:Fees it) <br />Install Plumbing Systems:Fees <br />Install Sewage Disposal Systems:Fees Signature of applicant <br />Install Water Hookup:Fees cUi <br />Install Water Supply Systems:Fees <br />Install Sewer Hookup:Fees <br />w <br />Signature of Village Official <br />.•MB I <br />State Surtax:Fee S , 6 ^ <br />Total Amount Paid to Village ............___Fees / S' <br />'