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Umftactor—�L- <br />Oamcr_— _ <br />State License No ___ <br />Parcel No. <br />Section No <br />:lddress��� <br />Village Liccusc No. <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Plat No..� <br />Other Description: <br />Village Permil No 1186 <br />Date -7 16 A/0 <br />Lot— Block— Subdivision--- ---- <br />I <br />ubdivision—_._._.__- <br />I hereby agree that, iu case a permit is granted, all work which shall be done and all materials which shall be used, shall <br />comply with the N'illagc Code of Orono applicable thereto, and shall include all additional slxcificatiuus as listed belaw. <br />Install plumbing systems <br />Install <br />sewage disposal systems: <br />Repair <br />Install <br />syr supply systems: <br />Repair <br />Fee <br />Fee $ <br />[-'cc $ <br />Fee $-- - <br />Total amount paid to Village:........ 5---- - -- —_.. <br />Signaturc of applicant <br />Signature of Village Oficial <br />