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��Is9• P• 2915 <br />Contractor �`� �,�C ` ''- Address <br />Owner- Addresse <br />Statc License No. Village License No <br />Parcel No. <br />Section No <br />Plat No <br />Other Description: <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot— Bloc Subdivision <br />Date /-- 17- 7 <br />I hereby agtec that, in case a permit is granted, .ill work which shall be done and al', 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: Fee 5 <br />Install <br />sewage disposal systems Fcc g� n d <br />Repair <br />Install <br />water supply system,: Fec 5 — <br />Rcpair X14 <br />L 't (` ` r_ Fee 5 � <br />r <br />Total amount laid to Village....... $ /P- �- LZ <br />Signature of applicant <br />Signature of Village Official <br />:y <br />