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Contractor. <br />Owner <br />Village Permit <br />Address <br />Addressoe <br />Sta tc 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 />Lot BlAe1c Subdivision <br />Date-7� �"` 0 - 75 <br />.1 <br />I hcrcb)r 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 />J <br />C <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 />State Surtax: <br />Fee 5 . <br />Fee S <br />Fee S <br />Fee S <br />Fee S <br />Fee S <br />Fee S <br />Fee S <br />Total Amount Paid to Village........... Fee S <br />... <br />Signature of applicant <br />Signature of Village Official <br />P <br />c <br />FIR <br />