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s -- <br />Village Permit N° _ 4381 <br />Contractor Address <br />Owner �Cl %� �'r"1 L7tltCC Address <br />State Licensc No. Village License No ` <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Parcel No. <br />Section No Lot Block Subdivision <br />Plat No <br />Other Description: <br />1 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 />1 ` �- <br />Water Meter: Fee S <br />Sewer Hookup: Fee S <br />Install Plumbing Systems: Fee S _. <br />Signature of applicant <br />Install Sewage Disposal Systems: Fee S _ 11 <br />Install Water Hookup: Fee S <br />Install Water St,j)ply Systems: Fee S <br />Install Sewer Hookup: Fee S <br />Signature of Village Official <br />State Surtax: Fee S <br />Total Amount Paid to Village.. .... ... Fee <br />