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Contactor <br />Owner. � �. -vr �-L•-y . <br />Statc license No <br />Village Uccnsc No <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Village Permil No 1373 <br />'k /"-- V <br />SW - -r-o <br />Date--z///� <br />Parcel No. <br />Section No Lot— Block Subdivision _ _ __-__-__ <br />Plat No <br />Other Description: <br />I hereby agree that, in arse a permit is granted, all work which shall be dont and all materials which shall be used, still <br />comply with the Village Calc of Orono applicable thereto, and shall include all additional specifi(2tions as listed below. <br />Install plumbing s)stems: <br />ns <br />sc agc disposal systems: <br />Repair <br />Install <br />Repair svatcr supply systcmti: <br />Fee S. _ <br />Fee $ S v <br />I' cc $ - <br />-- <br />Fee S <br />Total amount paid to Villagc........ $7, <br />Signature of applicant <br />Signature of Village U tial <br />f/c <br />