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L <br />Village Permit N° 4506 <br />0 <br />Contractor / y�s�/� Address <br />Owner _ Address <br />State License No. <br />Parcel No. <br />Section No <br />Plat No <br />Other Description: <br />Village License No <br />GENERAT_, PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot Block Subdivision <br />Date <br />1 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 />Water Meter: <br />Sewer Hookup: <br />Install Plumbing Systems: <br />Install Sewage Disposal Systems: <br />Install Water Hookup: <br />Fee S <br />Fee S <br />Fee S <br />Fee S Signature of applicant <br />Fee S <br />Install Water Supply Systems: Fee S <br />Install Sewer Hookup: Fee S <br />State Surtax: Fee S Ze CQn <br />Total Amount Paid to Village.... ...... Fee S .56 " e e) <br />Signature o Villa pOfficial <br />