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Village Permit <br />Contractor J�p [-t+A_ (�l �C IL Address- Alt, <br />Owner Address <br />State 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 />Cn'Stal Bay, Minnesota <br />Lor Block Subdivision <br />Date <br />4'58 <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 211 additional spe6fic2tions as listed below, <br />Water Meter: <br />Sewer Hookup: <br />Install Plumbing Systems: <br />Install Sewage Disposal Systems <br />Install Water Ilookup: <br />Install Water Supply Systcros <br />Install Sewer Hookup <br />FCC S <br />Fee S <br />Fee S <br />Fee S <br />Fee S <br />Fee S r <br />Fee S <br />State Surtax. <br />Total Amount Paid to Village ......... Fee S <br />Signature of applicant <br />Signature of Village Official <br />�� Ile <br />