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Village Permil N" 1175 <br />Contrxbor @ l 11Address �� .�� �-' — <br />owner ��fL ire c Add 0 Zjvb <br />2� <br />State License No Village License No <br />Section No <br />alar Description: <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />i <br />Date L <br />6 <br />Parcel No. _ <br />Lot Block Subdivision _ <br />Plat No <br />I bereby agree that, in case a permit is granted, all work which shall b1c- 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 />sewage disposal systems: <br />Repair <br />Install <br />water supply systems: <br />Repair , p <br />Fee $ <br />Fee $ <br />Total amount paid to Village........ $--77, -6`a <br />Signature of applicant <br />Signature of Village Official <br />