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Village Permit Ne 1 678 <br />Contractor '`�lL���Address <br />Owner_ t�� Z Address- ([ ( """4' f / <br />State License No. <br />Parcel No. <br />Section No— <br />Plat No <br />Other Description: <br />Village License <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Dat <br />Lot—_ Block SulAivisiun___._._ <br />1 hereby agree that, in case a permit is granted, all word: which shall be done and zill materials which shall be used, Shull <br />comply with the Village Code of Orono applicable thereto, and shall include all additional specifications as listed below. <br />Install plumbing systems: <br />Install <br />Repair scwage dispxwsal systems <br />Install <br />do <br />supply systems: <br />o pai <br />c <br />Fee S— <br />F ec <br />Fec $ <br />t' cc _ <br />Fee 5— <br />Total amuumt paid to Village........ 5_—_ ._ <br />Signature of applicant <br />Signature of Village Official <br />