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/ vinap Porn t 2856 <br />r� <br />Contractor — Addres <br />Owner %% Address / Q <br />State License No. Village Licam No <br />Parcel No. <br />Section No_ <br />Plat No <br />Other Description: <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Cnstal Bay, 1Ninncsota <br />Lot Block Subdivision <br />Date <br />I hereby agree that, in caw a permit is grantee], all work which shall be done and all materia), 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: Fee $ <br />InstaU <br />sewage disposal systems: Fee $ <br />Re <br />nst /� <br />water supply systems: Fee $1 ��_____� <br />Repaid <br />Fee$ turd <br />Total amount paid to Village....... $__1 <br />CD <br />Ir <br />Signature of applicant <br />Signature of Village Official <br />