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Village Permit N2 2534 <br />Contractor Address— <br />Owner <br />ddres <br />CILag - L t(i1sf�� Address <br />% �" �Cs .� �u 1✓ / <br />Owner <br />State License No <br />Parcel No <br />Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Section No Lot Bloch— Subdivision <br />Plat No <br />Other Description: <br />Date / / 7 <br />I hereby agree tbat, in case a permit is granted, all work wbich shall be done and all materials which sball be used, shall <br />comply with the Village Code of Orono applicable thereto, and shall include all additional specifications as listed below. <br />r� <br />Install plumbing systems: Fee $ <br />Install <br />sewage disposal systems: Fee $ <br />Repair <br />Install <br />water supply systems: Fee $ <br />Rcpa�/ <br />Fee $ 10,06 <br />Total amount paid to Village....... $ <br />Signature of applicant <br />Signature of Village Official <br />