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c'�'/k <br />Village Permit <br />N? <br />4102 <br />,9 <br />Contractor i fin' Address��'�' <br />4 /d-Owner ` .6 �v✓�-u� Address te a- 4 ka, s.o (-c' <br />State License No. <br />Parcel No. <br />Section No <br />Plat No <br />Other Description: <br />Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot Block Subdivision <br />Date '(-7L-7� <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 />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 />33�—'S-e <br />Fee S <br />Fee S / 40' O fl <br />Fee S — <br />Signature of applicant <br />Fee S <br />Fee <br />Fee S <br />Fee S <br />State Surtax: Fee S <br />Total Amount Paid to Village........... Fee S <br />Signature of Village Official <br />Ce <br />