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Village Permit N° 4186 <br />Contractor l Add S <br />Owner �' Address <br />Statc Licensc No <br />Parcel No. <br />Section No <br />Plat No <br />Other Description: <br />Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot Block Subdivision <br />Date`/� 15 <br />I hereby agree that, in case a permit is granted, all work which shall be done and all materiab 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 />Install Water Hookup: <br />Install Water Supply Systems: <br />Fee $ <br />Fee S <br />Fee <br />Fee , r J <br />Fee $ <br />Fee S <br />Signature of applicant <br />Install Sewer Hookup: Fee S <br />` Signature of Village Official <br />State Surtax: Fee S <br />Total Amount Paid to Village........... Fee S <br />