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Village Permit - 3 � 81 <br />Contractor Address c'' 'i'l �1-� <br />Owner 6LI17 - 1_Address <br />State License No <br />Parcel No. <br />Section No <br />Plat No <br />Other Descrilkion: <br />Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot Block Subdivision <br />Date c/ _ <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 />37 mil/ � i <br />Water Meter: Fee S _i - nZ.� <br />Sewer Hookup: <br />Fee S <br />Install Plumbing Systems: <br />Fee S <br />Install Sewage Disposal Systems: <br />Fee S <br />Install Water Hookup: <br />Fee $ / •2l <br />Install Water Supply Systems <br />Fee S <br />Install Sewer Hookup: <br />Fee S <br />State Surtax: <br />Fee S S C) <br />Total Amount Paid to Village........... <br />Fee S 7 u <br />ture of applicaitt-- <br />i <br />Signature of Village Official <br />