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Village Permit T `� t 0 <br />f � <br />Contractor Address <br />01 <br />Owner rt/ - �r Address / �; C u e �Q 4. C�e 41 1 <br />State License No. Village License <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date <br />Parcel No._ <br />Section No Lor Block Subdivision <br />Plat No <br />Other Description: <br />I hercb}' 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 />-�'-y8� Icy <br />Water Meter- <br />Sewer <br />eterSewer 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 />Total Amo int Paid to Vdlagc <br />Fee S <br />Fee S <br />Fee S <br />Fee S _ <br />Fee S <br />Fee S <br />Fee S <br />Fee S `' <br />i <br />Fee 3 <br />Signature of applicant <br />Signature of Village Official <br />