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v.I 3674 <br />Village Permit <br />Conhactor Add <br />Owner AAddress 4Z-g�.l <br />State License 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— Z—a �— <br />vt <br />I hereby agree that, in case a permit is granted, all work which shall be done and all materials which shrill be used, shall <br />comply with the Village Code of Orono applicable thereto, and shall include all additional specifications as listed below. <br />2. cta'-, 2.- , -v le gzo g <br />Water Meter: <br />Fee S <br />Sewer Hookup: <br />Fee S <br />Install Plumbing Systems: <br />Fee S <br />Install Sewage Disposal Systems: <br />Fee S <br />install Water Hookup: <br />Fee S <br />Install Water Supply Systems: <br />Fee S <br />Install Sewer Hookup: <br />Fee S <br />State Surtax: <br />Fee S <br />Total Amount Paid to Village........... <br />Fee S <br />Signature of applicant <br />Signature of Village Official <br />