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VOINP Permit N" 1 826 <br />Contractor /1CU -AddrLs�> <br />Owner___._ L 4` %I .%ddress rS ' '�� Q� �(L P c- <br />Statc License No — _ _ _ <br />Section No <br />Other Description: <br />Village Licensc No. <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />D2tc u <br />Parcel No. <br />Plat No <br />Lot–.. Blmk----- <br />1 hereby agree that, in case a permit is granted, all work which shall lx done and all matemils which shall be used, shall <br />comply with the Village Code of Orono applicable thereto, and shall include all additional %I)c6fications as listed below. <br />Install plumbing systems: <br />Install <br />sewage disposal systems <br />�m <br />Install <br />Repair water supply systems: <br />Fee <br />Fee <br />Fee $ _ <br />Fee $--- <br />Total amount paid to Village........ $_— . __ <br />Signal"rc cf applicant <br />Signature of Village O tial <br />