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Village Permit NO 1 01 +, <br /> , 3 4? 0,-)( (, r (, /- c ' "-/ <br /> Contractor S/ ti A W E I- L C ° •ddrest A /r 7 rj <br /> ./9 C rt o _s r 0 <br /> ddress <br /> Owner lr'' - <br /> / 1# j �i �� A/.1> <br /> State License No — Village License No_ / eFfG <br /> Gy g (A) It� �rur <br /> GENERAL PERMIT <br /> VILLAGE OF ORONO <br /> Crystal Bay, Minnesota <br /> Section No .I Parcel No.316° L044';? Block__ Subdivision F° 1- t: ` T I- A k F /J/` rR <br /> Other Description: • <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 comply with <br /> the Village Code of Orono applicable thereto, and shall include all additional specifications as listed below. - <br /> Install plumbing systems: Fee $ <br /> Install sewage disposal systems: Fee $ <br /> Install water supply Y 1 systems: Fee $ co <br /> Fee $ <br /> Total amount paid to Village $ H <br /> Signature of applicant Signature of Village Official <br /> 71,6-1-1/"0.,te2 .1) a <br />