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State License No <br />Village Permit N! 1847 <br />Address— <br />< <t tc4 <br />Address'7f 7 &Azte <br />Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Dat <br />Parcel No. <br />Section No Lot Block Subdivision —_ <br />Plat No <br />Other Description: <br />I hereby agree that, in case a pcnnit is granted, all work which shall be done and all materials Which skill 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: lice $ Signature of applicant <br />Install <br />sewage disposal systems: <br />a <br />Repairwater supply systems: <br />Fec $ <br />I. -Cc $ u.—'lL0_ <br />Fee $ <br />Total amount paid to Village........ $-- - - -- <br />Signature ;f VViillagc ,iial n e <br />