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A4 <br /> „a <br /> y <br /> Village Permit N2 1437 <br /> Contractor-- Address <br /> Owner _ ___ Address <br /> State License No — Village License No. <br /> X$ <br /> GENERAL PERMIT <br /> VILLAGE OF ORONO --� <br /> Crystal Bay, Minnesota <br /> t Date <br /> Parcel No. <br /> Section No Lot--- Bloch Subdivision - <br /> Plat No <br /> Other Des•__.;�tion: <br /> 'mz <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 /> nd shall include all additional specifications as listed below. <br /> comply with the Village Code of Orono applicable thereto, a <br /> V.fi <br /> Install plumbing systems: Fee $ Signature of applicant <br /> Install <br /> sewage disposal systems: Fee �a / <br /> Repair <br /> ' Insfiall <br /> water supply systems: Fee $ <br /> Re r Signature of Village ffiicial <br /> A &/97--- Fee $ <br /> ” Total amount paid to Village... .. .. . -- __ — — -- — -- - --- — <br />