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v <br /> Village Permit <br /> Contractor— Address—. — <br /> _ Address 4 <br /> Owner - � <br /> State License No.— -- __ Village License No._--_ <br /> z . <br /> a GE k ir1f <br /> VILLAGE OF ORONO <br /> Crystal Bay, Minnesota s •' <br /> Date ,' <br /> Parcel No. ' <br /> F ' <br /> ' Section No. Lot— Block SubdivisI—` <br /> Plat No.— <br /> ' Other Description: t <br /> { I hereby agree that, in case a permit is granted, all work which shall be done ane ah materials which shall be used, shall <br /> comply v"ith the Village Code of Orono applicable thereto, and shall include all :.dditional specifications as listed below. <br /> fY <br /> ' Instal! Plumbing Sys Fee $—_-- — S"gnatnr_ o applicant e <br /> ;-13 Install <br /> sewage disposal systems: Fee _-- - ------ --- --- <br /> Repair - <br /> Install <br /> «,'ter suFee $ --- <br /> Repair <br /> of l'i]ia;c Official <br /> r_ Fcc — --- / <br /> Total amount lxiid to \pillage. . .. . . . <br /> T <br /> . `$d��e �''�- '��A°' .F<da'�`4 `'�+K �k'�"4- °'�` •!�°:�Ao-yw° .'$- ,f. ra< o E• -., .�.,. .... ,.. ...�xa,�,� i-.,�.^�r��+.�. ,'ar _ _::�a_:,.. <br />