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3x38 ; 4 <br /> • ":"4;./i:; .',,,,.•:' <br /> Village Permit , <br /> k <br /> �[ f / 4 <br /> iC 4 i,-' 4" r ll.1�— Address ,lr �.f Ai.I <br /> Contractor /0 41 <br /> Owner P. .vt _ !£ �cf .c I <br /> qir <br /> Address <br /> 4 p <br /> State License No. — Village License No. .Q <br /> ERAL PERMIT <br /> GEN 11 <br /> VILLAGE OF ORONO _ ; <br /> Crystal Bay, Minnesota . 1 <br /> - <br /> s Date ` r' i_ -71-' <br /> r'' Parcel No. <br /> ' Section No Lot Block Subdivision f <br /> Plat No — , <br /> Other Description: �Y <br /> 1 <br /> . <br /> -Is t <br /> I herebyagree 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 /> is <br /> a — — <br /> iill <br /> Install plumbing systems: Fee $___ Signature of applicant <br /> -1' Install <br /> sewage disposal systems: Fee $ <br /> -Repair <br /> "r <br /> J! Install <br /> water supply systems: Fee $_f( ' n -�Repair Signature of Village Official <br /> �� / <br /> �t .--� , <br /> _' o <br /> !f r fit l!i-i4 „ <br /> Total amount paid to Village $ ;/ '("' • S( p <br />