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A <br />Vi11"s hwfwt _ ... y 3690 <br />ContractoAddress <br />Owner T'csr�P r�c Ae�'f Address �Q7U.4 Aa/ <br />Statc License No. _ Village License No <br />Parcel No. <br />Section No <br />Plat No <br />Other Description: <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot Block Subdivision <br />Dates J — — 7 a <br />i hereby agree that, in case a permit is granted, 211 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 fated below. <br />A Lu vtiz� g).86 <br />Water Meter: Fee S <br />Sewer Hookup: <br />Install Plumbing Systems: <br />Install Sewage Disposal Systems: <br />Install water Hookup: <br />Install water Supply Systems: <br />Instal Sewer Hookup: <br />State Surtax: <br />Fee S <br />Fee S <br />,,Fee s <br />V. <br />Fee S <br />Fee S <br />Fee S <br />Fee S <br />Signature of applicant <br />Signature of Village Official <br />Total Amount Paid to Village........... Fee S <br />f <br />