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s <br />, X11' <br />Contractor - � _ / � r <br />Owner <br />State Licensc No. <br />Section No <br />Other Description: <br />., <br />62 i.� , <br />- y <br />Parcel No. <br />0 <br />Address - <br />57 9 <br />ddres 579 <br />Address <br />Village Permit 4936 <br />y� Zoo - eAw? sw" <br />Village License No le ft� <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot Block Subdivision <br />Plat No. <br />Datil �U— �G— �7 <br />I hcrcb), agree tliat, 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 />StateSurtax: <br />ro,al Amount Paid to Village <br />Fee S <br />Fee: S <br />Fee S <br />I <br />Fee S <br />Fee S <br />Fee S � <br />Fee S _ <br />Fee S <br />i <br />f <br />I'=eye $ <br />Signature of applicant <br />Signature of Village Official <br />