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• . . _MWIM�. <br />State L ense No <br />Y <br />Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Dam ll Z <br />Parcel No <br />Suction No Lot Block Subdivision <br />Plat No <br />Other Description: <br />I hereby agree that, in case a permit is granted, all work which shall be done and all materials wbicls shall be us4 sbaA <br />comply with the Village Code of Orono applicable thereto, and shall include all additional spatiiations as listed below. <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 />Install Sewer Hooktip- <br />Fee S <br />Fee S <br />Fee S <br />Fee S O <br />Fee S <br />Fee S <br />State Surtax: Fee S . J V <br />Total Amount Paid to Village........... Fee S <br />Signature of applicant <br />Signature of Village Official <br />