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Viliag* Pwmit r%2 . 2779*i <br />. i <br />Contnctot.Addrest./.4, . <br />Owner.t-k OQl.^L-m j \aat^, /-’V i y d- / A /\J' <br />Sb»c License No..Vilbge License No. <br />GENERAL PERMIT <br />VILLAGE OF OROMO <br />Crystal Bay, Minnesota <br />Date.4 /> -m <br />Parcel No. <br />Section No.Bl Subdiviskm. <br />Plat No. <br />Other Description:m , 1 <br />I hereby agree that, in case a permit is granted, all work which shall be done and all materiab which shall be used, diall ' <br />\ <br />comply with the Village Code of Orono applicable thereto^ and shall include all additional specifications as listed bdow. <br />•'1 <br />L <br />Install [dumbing systems: <br />Install <br />Fee $.Signature of applicant <br />Repair <br />Install <br />sewage disposal sj-stems: Fee $. <br />J <br />'-■i: :3 <br />watCT supply systems: Fee $ <br />Tk r Ir i h- T /r< CD Signature of Village Official <br />L <br />Total amount paid to Village. <br />STT .oc <br />Ic.Sk}