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Village Permil N2 1473 <br />Contractor- <br />Owner ___/]r Q , O&Aj IIA/AJ^ <br />Address. <br />State License No- <br />ArtHres s ^{F <br />Village LicciiscW^______________________________ <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date- <br />/ / <br />Section No- <br />Parcel No,. <br />Plat No __ <br />Block.Subdivision <br />Other Description: <br />I hereby agree that, in ease a pennit is granted, all work which shall be done and all materials which shall be used, sliall <br />comply with the \'illagc Code of Orono applicable thereto, and shall include all additional s]x:ciiications as listed below. <br />Fee $- <br />scsv.igc dis]X)sal systems: Fee 5- <br />Install plumbing systems: <br />Install <br />Repair <br />Fee S- <br />Fec $. <br />Total amount ixiid to Village............$.f <br />Signature of applicant <br />Signature of Village Ofpeial