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`.," �'�tiTer'4;r�!+e��. . i�' i� �-. ' -'• ;` ,•''�`ati. '��iiti'.. "r'. 7�` "'7r' T ^ r'*:. --"r • r.' 7r„r - .. . r�-,. a .r ; �c, <br />j� <br />Village Permit 3 S v <br />�1 <br />Contractor ' ` c 'r Address <br />Owner x Address <br />State License No. — <br />Parcel No. <br />Section No <br />Plat No <br />Other Description: <br />Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot Bloch _ Subdivision <br />Date Z- )4- 75 <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 Vil ge 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 />Fee S <br />Fee $ <br />Fee S <br />Fee $ <br />Fee S C r—) <br />Fee S <br />Fee S <br />State Surtax: Fee S <br />n � <br />Total Amount Paid to Village........... Fee S <br />Signature of applicant <br />Signature of Village Official <br />