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Village Permit No 1293 <br />ContractorAddressjL <br />Owner Address <br />State Liccuse No Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Dat <br />Parcel No. <br />Section No Lot Block- Subdivision <br />Plat No <br />Other Description: <br />I hereby agree that, in rase a permit is granted, all work which shall be done and all materials which shall be used, shall <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 />scivagc disposal systems: <br />Repair <br />11S <br />to supply systems: <br />Repair <br />Fee $ <br />rcc $ <br />I. -CC $ /0, 0 O <br />Fcc $ <br />Total amount.paid to Village........ $/()' <br />Signature of applicant <br />Signature of <br />Village OOfficcial� <br />