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r <br />Con <br />Owner <br />Statc License Nk. <br />Section No <br />Other Description: <br />I <br />Parcel No <br />•&P Permit &I . <br />- Village License <br />GENERAL PERMIT <br />Plat No. -- <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Lot— Block — Subdivision <br />Date ! 'Y ti - 7 <br />I hereby agree that, in case a permit is granted, all work which shall be done and all materials whish shall be used, shall <br />comply with the Village Code of Orono applicable ther.to, and shall include all additional specifications as listed below. <br />C� <br />lu,t.tll plumhntg <br />lmtall <br />xssa�;c InIN ,.tl SNALI t`, Fft <br />I�c�ztit <br />Mstall <br />ter suppJ}' systems: Fee <br />Repair r„ <br />*L;'� <br />Total amount paid to Village....... $� <br />Signature of applicant <br />Signature of illage (]ficial <br />r - <br />i <br />