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�. :��5� �� ;t��yd. �7 ..."!i�•�'��°J,'.�� <br /> ...' l.; � .. .t�.a.1+ ...••^F7.�J�._x.{�fi:.•'t,.nr• •'r' . ,,.it`..a;�:i�nv`�.tr.�� ..�M.s:::�••+�' �tjvil'f�4h>tt . �'u.. ..l�t2� ( . <br /> Village Permit = - � ��4�- <br /> l? � � � c �f/) � <br /> Contractor����� ��/�'�� Address �'�r� ' '�'� - <br /> � , / <br /> � ���t��n � Address- I � n�7 /^ � V'� �� . <br /> Owner <br /> Statc Licensc No. Village License No <br /> GE1"�tERAL PERMIT <br /> - �VILLAGE OF ORONO <br /> Crystal Bay, Minnesota <br /> �te /�- — � --�� <br /> Parcel No. <br /> Secdon No Lor Bloc� Subdivision <br /> Plat No..—: <br /> �;.' <br /> ;�,'�: Other Description: <br /> a,¢,µ ' <br /> :ti a <br /> t' <br /> -�. • <br /> ,�, ..� <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 /> ,;,, : <br /> v` comply with the Village Code of Orono applicable thereto, and shal] include all additiona] specifirations as listed below <br /> ; <br /> Water Meter: Fee S <br /> • Sewer Hookup: Fee S <br /> +,� � Install Plumbing Systems: Fee S_ <br /> ,�•;� Signature of applirant <br /> Install Sewage DisNosal Systems: Fee 3 <br /> Install Water Hookup: Fee S <br /> - .;ti',;. / <br /> '�� install Water Supply Systems: Fee$ r � � � � <br /> �� <br /> ��`. , InstaU Sewer Hookup: Fee 5 <br /> h, ,� Signature of Village O�cial <br /> ;�.' Fee 5 �� �,1.�, / <br /> ' ; State Surtax: j � <br /> ' �� : J� �/1� ��' ';� . Gl d'l h�� <br /> ��-� Total Amount Paid tu Village. .......... Fee$ <br /> ��:: <br /> =ts'� <br /> :;; <br /> .s _,_...,..�.. r..r..-. - <br />