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State License No <br />Parcel No <br />Section No <br />Plat No <br />Other Description: <br />Village Permit N° 2503 <br />Address <br />/z//e <br />AddressZ- <br />Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Loi Block Subdivision <br />I hereby agree that, in rase a permit is granted, all work wliieb 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 />se%va d' rx I sy ms: <br />Rcpaif <br />I �G <br />water sup y syeev <br />Repair <br />Fee $ <br />Fce � <br />Fee $ <br />Fee $ <br />Total amount paid to Village....... $ <br />Signature ofapplicant <br />c('J// <br />Signature of Village Official <br />