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Villag* Permit N« 1063 ^ <br />Contactor <br />Ownet^ <br />A/?c. <br />•J. f'j'r /6 <br />Address —^ <br />Addres <br />____________________ — <br />!/i^ <br />Stele license No.Village License No.4^ g <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />Date <br />r ■ <br />^/A /' ^ LX* <br />Section No.Pkicel No- <br />Plat No_Block.Sobdivuton. <br />Other Docriptkm: <br />I hereby apee that, in case a permit is granted, all work which shall be done and all materials which shall be used, shall <br />comply with the Village Code of Orono applicable thereto, and shall itKiude all additional speciScations as listed bdow. <br />I' <br />w <br />Install plumbing systems:Fee Sl.Stature of applicant <br />Instill. sewage disposal systems: Fee $-Repmf ,2 <br />Install supply systems:Fee $_ <br />/ <br />Fee %^.CQ. <br />Total amount paid to Village..........$. <br />Signature of Village Offic^ <br />■ ilKMi