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.w'�S�Yfi�W.siy.,�`� :. •.�c1P � ` •v.. •t.. .•„y v.,«� +. ✓rt� a., �y,., ,qr <br />Village Permit 4171 <br />Contractor vG� <br />Address <br />Owner Address IL- A 6 sr <br />J <br />State Licensc No. Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date L2 14' 7 LI <br />Parcel No. <br />Section No Lot Block Subdivision <br />Plat No <br />Other Description: <br />I hercby 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 />Ll <br />Water Meter: <br />Sewer hookup: <br />Install Plumbing Systems: <br />InstA-Sewage Disposal Systems: <br />Install Water Hookup: <br />Y-- <br />Fee $ u <br />Fee $ <br />Fee S <br />Fee S <br />Fee $ L'%• r o <br />Install Water Supply Systems: Fee S <br />Install Sewer Hookup: Fee S <br />State Surtax: Fee S <br />/ <br />Total Amount Paid to Village........... Fee S <br />?w— . <br />Signature of applicant <br />Signature of Village Official <br />f <br />