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Village Permit 4 166 <br />Contra ctor f _ Addres r <br />1 <br />Owner. 4 Address %� tie-� w ,.. 2,1 <br />-2n - 37S3 <br />State License <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 <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 />. A- � ��o C - o r-) <br />Water Meter: Fee S <br />Sewer Hookup: Fee S <br />Install Plumbing Systems: Fee S <br />Install Sewage Disposal Systems: Fee S <br />Install Water Hookup: Fee S <br />Install Water Supply Systems: Fee S <br />Install Sewer Hookup: Fee S �� C <br />State Surtax: Fee S <br />Total Amount Paid to Village........... Fee S <br />Signature of applicant <br />Signature of Village Official <br />