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f 1 r <br />Village Permil N2 1254 <br />Ni Contractor. <br />Owner___ <br />/) <br />—AcT • ui 6/i 'irA >v Address. <br />T/i <br />^Statc license No.N'illagc License No. <br />W V GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Dale- <br />Section No. <br />Piircd No.. <br />Pbt No — <br />,sA <br />Block. <br />/ <br />Subdivision. <br />'..Other Description: <br />9 <br />I hetdiy agree that, in case a permit is granted, all work which sliall be done and all nuterials which shall be used, shall <br />comply with the N'illagc Code of Orono af^icable thereto, and shall include all additional specifications as listed below. <br />Install plumbing systems:I -cc $. <br />Install , , r. *_ sewage disposal sntcim: Fee $.Repair <br />Signature of applicant <br />Install <br />Repai watc supply s}stcms: <br />/ <br />Fee $- <br />Fee Signalurc of X'illage Official <br />Total amount paid to V’illagc ...........$.