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State License No <br />Parcel No. <br />Section No <br />Plat No <br />Otlier Description: <br />Village Permit N2 1 �0 0 <br />redress c <br />Address-- =�/Y <br />/.3 P/-/ <br />Village License No-- <br />GENERAL <br />o <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot, block Subdivisi <br />Date <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 />56&je( <br />Install plumbing systems: Fee $ <br />Install <br />sm-ige disposal systems: rce $ <br />Repair <br />Install <br />tarter sup , systems: Fcc $ _ <br />Repair � � Fee <br />Total amount paid to Village........ $-- — <br />Signature of applicant <br />i <br />r <br />Signature of Village Offic'al <br />�_ ,(1tq <br />