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Village Permit -- <br />Contractor f� "'� Add*�� <br />7 _ <br />OwnerAddresses A ' <br />a111o. boo _ <br />4213 <br />State License No. Village License No '1 <br />t <br />Section No <br />Other Description: <br />Parcel No. <br />Plat No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot Block Subdivision <br />Date A2 r / ` 7 `/ <br />I 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 add" Tonal speeificetions as listed below. <br />5/Ir737 <br />Water Meter: <br />Sewer Hookup: <br />Install Plumbing Systems: <br />Install Sewage Disposal Systems: <br />Install Water Hookup. <br />Install Water Supply Systems: <br />Install Sewer Hookup: <br />Fuca <br />Fee S <br />Fee S <br />Fee S Signature of applicant <br />FeeS1 <br />Fee S �¢ <br />Fee S <br />State Surtax: Fee S Jyd <br />Total Amount Paid to Village........... Fee S ( 9 <br />A� <br />Signature of Village Official <br />/-/42' )4/� e <br />