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• •=•■':': V'l'- ^:'^-\--- "^'i''' <br />•V- ^^-a-^::=.;.>A:<.:/;:j•;f^y^ <br />lil <br />**■ <br />Village Pemiit N$ 575 <br />Contra <br />Owner,^zrf7Zip ^Address /)^ <br />Address_______________________f^ <br />State License No. <br />SiB4jOl/ <br />Vilbn Ucense No.A'Cl <br />GENERAL PERMIT <br />VILLAGE OF ORONO <br />Crystal Bay, Minnesota <br />,, ■• <br />Section No,/^__ Parcel No./ &tro Int Block Subdivision. <br />Other Deseripdon: <br />I hereby agree that, in case a permit is granted, all work which shall be done and all materials which shall be used, shall comply with <br />the Village Code of Orono applicable thereto, and shall include all additional specifications as listed below. <br />Install plumbing systems:Fee $. <br />Install sewage disposal systems: Fee $ <br />Install water supply systems:Fee ^ <br />Fee $. <br />Total amount paid to Village $£t \( I / I <br />Signature of applicant Signature of Village Official <br />M. <br />... <br />■M <br />% <br />.... . • <br />.' A. ■"• ■]f