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Village Permit N° .- 4323 <br />Contractor Px" C�d— Address <br />OwneI , AAlAd — Address r R44 7U-♦4'-' <br />State License No <br />Parcel No. <br />Section No <br />Plat No <br />Other Description: <br />Village License N <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot Block Subdivision <br />Date / —14 ` / <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 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 />Install Water Supply Systems <br />Install Sewer Hookup: <br />A 3$6W7 0 -- <br />15'1/449 <br />Fee S <br />Fee S <br />Fee S <br />Fee S <br />Fee S <br />Fee S <br />Fee S <br />State Surtax: Fee S <br />Total Amount Paid to Village...... .... Fee S —'k - e) <br />Signature of applicant <br />Signature of Village Official <br />