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�. ._._. .� .-..—•{g�.��1''�.�•i� ._ .!w' :^�'�•�!�l.�l'!"', r,.t.��c.�n,_.R,�„�,.�..�..r.�.__....:-,..rw....�+�;.a"�I <br />. 5 <br />f V116" pow! 33. 77 <br />r <br />Contractpr V� Q Addt <br />Owner "I J, Address � � ✓� !��'� C-- f L IL <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 />Date k 11 (/ — 7 <br />Lot Blob Subdivision _ <br />I hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall Ix u.:i, 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 $ <br />Fee S <br />Install Water Supply Systems: Fee S <br />Install Sewer Hookup: Fee S <br />State Surtax: Fee S <br />�^ <br />r <br />Total Amount Paid to Village........... Fee S , ! . S n <br />Signature of applicant <br />Signature of Village O>lficial <br />