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W696 Pwrna N" 1960 <br />l <br />Contractor �Oy (� �fi� L �� Address 3tn�Y Com.+ Y1 <br />Owner `" Address <br />State License No Village License No <br />Parcel No. <br />Section No <br />Plat No <br />Other Description: <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot Block— Subdivision <br />Date �-- 4 — A f — <br />16emby agroe that, in case a permit is granted, all work which shall be done and all materials which shall be used, shall <br />comply with the Village Cale of Orono applicable thereto, and shall include all additional specifications as listed below. <br />Install plumbing systems: <br />IRnsepWl sewage disposal systems: <br />water supFly systems: <br />Repair <br />Fee $ <br />Fee $ <br />Fee <br />Fee $ <br />Total amount paid to Village........ $---- — <br />Signature of applicant <br />Signature of Village fficial <br />• ,l <br />