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Village Permit NO 101 • <br /> , 3 /2 0,—)e (, , (. I-1 ' L-c '/� <br /> Contractor_ / Yl A WE L C o ddress A R R. I , <br /> „AI /Zo e, <br /> Owner '` Address 4 / M Ci N <br /> State License No Village License No / G �" <br /> b GENERAL PERMIT <br /> • VILLAGE OF ORONO <br /> Crystal Bay, Minnesota <br /> Section No 7 Parcel No 316° Lots ""? Block______y Subdivision F /- A k F �)A1 r� K <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 /> • <br /> Install plumbing systems: Fee $ <br /> Install sewage disposal systems: Fee $ <br /> • <br /> Install water supply systems: Fee $ O' eD <br /> Fee $ <br /> Total amount paid to Village $ /a. <br /> Signature of applicant Signature of Village Official <br /> • <br />