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WIMP Pan if : � 2715 <br />Contractor � � a1 Address <br />Owner L.�/i/Yt �t�_,Cl..� 1 Address`> w <br />State License No. <br />Parcel No <br />Section No <br />Plat No <br />Other Description: <br />Village License No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot Bloch Subdivision <br />r <br />Date - ) �- 1 f <br />I hereby agree that, in rase a permit is granted, all work which 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: l -cc $ <br />Install <br />l--lscuage disposal systems: Fee 5 �' <br />C&O ip <br />Tnstall <br />water supply systems: Fee $ <br />Repair <br />Fee $ <br />Total amount paid to Village....... $ <br />Signature of applicant <br />Signature of Village Official <br />